Active NPI
John Butera, RMT PTA
- Physical Therapy Assistant
- Ft Carson, CO
National Provider Identifier
1891906137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- CO-0013082
- Practice address
- 7092 Harr Ave BLDG 6492
Ft Carson, CO 80902-2190 - Phone
- (719) 339-3998
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | CAPTA-4698 | CA | |
| Massage Therapist | 225700000X | CO-4698 | CO | |
| Physical Therapy Assistant | 225200000X | CO-0013082 | CO | Primary |
Addresses
Primary practice location
7092 Harr Ave BLDG 6492
Ft Carson, CO 80902-2190
Mailing address
115 Pennsylvania Ave
Woodland Park, CO 80863-8833
Phone (719) 339-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAPTA-4698 | CA | MD | Physical Therapy Assistant |
| CO-0013082 | CO | MD | Physical Therapy Assistant |
| CO-4698 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1891906137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PENNSYLVANIA AVE",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638833",
"telephone_number": "719-339-3998",
"fax_number": "719-687-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7092 HARR AVE BLDG 6492",
"city": "FT CARSON",
"state": "CO",
"postal_code": "809022190",
"telephone_number": "719-339-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTERA",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RMT PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "CAPTA-4698",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "CO-4698",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "CO-0013082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.