Mikki Lee Butler, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38966 Issued in CA

Practice address

3650 Lawnwood CT
San Luis Obispo, CA 93401-0922

Phone

(530) 680-7232

NPI assigned

May 7, 2012

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mountain Communities Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Weaverville, CA
  • NPI 1407027568
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Skilled Nursing Facility
  • Weaverville, CA
  • NPI 1154404010
  NPD

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1962761205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAWNWOOD CT",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934010922",
            "telephone_number": "530-680-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAWNWOOD CT",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934010922",
            "telephone_number": "530-680-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MIKKI",
        "middle_name": "LEE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Dawn Bustamante
• Jolynn Butera, B.S. M.A.
• Christian Butler, MPT
• Dameon Butler
• Elizabeth Butler, PSYD
• Hugh Randolph Byers, M.D.
• John Michael Byers
• Julia Christine Byllesby
• Christopher M Byrne, DPM
• C F Wong Beta Dental Incorporated

• Physical Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.