Active NPI
Cynthia Butler, P.T.
- Physical Therapist
- Newburgh, NY
National Provider Identifier
1952361685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015405
- Practice address
- 15 Racquet Rd
Suite 2
Newburgh, NY 12550-5705 - Phone
- (845) 567-9462
- Fax
- (845) 567-9493
- NPI assigned
- Mar 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015405 | NY | Primary |
Addresses
Primary practice location
15 Racquet Rd
Suite 2
Newburgh, NY 12550-5705
Mailing address
15 Racquet Rd
Suite 2
Newburgh, NY 12550-5705
Phone (845) 567-9462
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015405 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Forum Physical and Occupational Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hand Occupational Therapist
- De Witt, NY
- NPI 1700170545
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1952361685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 RACQUET RD",
"address_2": "SUITE 2",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505705",
"telephone_number": "845-567-9462",
"fax_number": "845-567-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 RACQUET RD",
"address_2": "SUITE 2",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505705",
"telephone_number": "845-567-9462",
"fax_number": "845-567-9493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "CYNTHIA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.