NPIMap

Organization Active NPI

Butler Therapy Services PC

  • Speech-Language Pathologist
  • Mascoutah, IL
National Provider Identifier
1972764090
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BUTLER THERAPY SERVICES PC
Practice address
1120 Linden PL
Mascoutah, IL 62258-5400
Phone
(618) 910-4052
Fax
(618) 566-3800
NPI assigned
Jun 20, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Jill C Butler, MS, CCC/SLPNPI 1144325218
Title
SLP/Owner
Phone
(618) 910-4052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Social Worker 104100000X NU
Registered Dietitian 133V00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Assistant 2355S0801X NU
Speech-Language Pathologist 235Z00000X NU Primary
Developmental Therapist 222Q00000X NU

Addresses

Primary practice location

1120 Linden PL
Mascoutah, IL 62258-5400

Mailing address

1120 Linden PL
Mascoutah, IL 62258-5400
Phone (618) 910-4052

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1972764090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 LINDEN PL",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622585400",
            "telephone_number": "618-910-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 LINDEN PL",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622585400",
            "telephone_number": "618-910-4052",
            "fax_number": "618-566-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "618-910-4052",
        "authorized_official_credential": "MS, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

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

Verify at the official NPI Registry.