Elisha Rae Butler

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06005089A Issued in IN

Practice address

1118 W Cross St
Anderson, IN 46011-9530

Phone

(765) 274-4464

NPI assigned

Dec 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1962040725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11544 E 200 N",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469529024",
            "telephone_number": "765-506-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W CROSS ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119530",
            "telephone_number": "765-274-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ELISHA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06005089A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodneshia Burt
• Elliotte Burton
• Elizabeth M Bush, RPT
• Mandy Kay Bush, MSED, ATC/LAT
• Gregory Robert Busing, DDS
• Grace Butler
• Jaima L Byrd, PMHNP
• Michael Byrge, RBT
• Karen Cabrera, LCSW
• Anneidra Caldwell

• Physical Therapy Assistant in Anderson, IN
• Providers in Anderson, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.