Individual provider Active NPI

John Butera, RMT PTA

  • Physical Therapy Assistant
  • Ft Carson, CO
National Provider Identifier
1891906137
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
CO-0013082 Issued in CO
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

Updated by the provider on Jan 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CAPTA-4698CAMDPhysical Therapy Assistant
CO-0013082COMDPhysical Therapy Assistant
CO-4698COMDMassage 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.

Verify at the official NPI Registry.