Individual provider Active NPI

John L Butler Jr., PTA

  • Physical Therapy Assistant
  • Rock Hill, SC
National Provider Identifier
1962389908
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A7069 Issued in NC
Practice address
1738 Celanese Rd Ste 102
Rock Hill, SC 29732-1731
Phone
(803) 670-3067
NPI assigned
Aug 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A7069 NC Primary

Addresses

Primary practice location

1738 Celanese Rd Ste 102
Rock Hill, SC 29732-1731

Mailing address

232 Emmett Dr
Pineville, NC 28134-6612
Phone (704) 604-1457

Other practice location 1

9101 Pineville Matthews Rd Ste D
Pineville, NC 28134-8826
Phone (980) 358-2581

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
A7069NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Focus, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Aug 25, 2025 Accepting new patients

Locations

1738 Celanese Rd
#102
Rock Hill, SC 29732
Phone (803) 670-3067

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1962389908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 EMMETT DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346612",
            "telephone_number": "704-604-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 CELANESE RD STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321731",
            "telephone_number": "803-670-3067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Pineville Matthews Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "NC",
            "postal_code": "281348826",
            "country_code": "US",
            "telephone_number": "980-358-2581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A7069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.