Jennifer E. Butler, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2037 Issued in ID

Practice address

9797 N Glen Hollow LN
Hauser, ID 83854-6159

Phone

(208) 771-3579

Fax

(208) 561-6194

NPI assigned

Jul 11, 2006

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID, WA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butler Physical Therapy

  • Physical Therapist
  • Hauser, ID
  • NPI 1396449088
  Medicare reassignment NPD Authorized official
• A and B Physical Therapy PLLC

  dba South Hill Physical Therapy

  • Physical Therapist
  • Spokane, WA
  • NPI 1750411690
  Medicare reassignment NPD
• Gordon Physical Therapy, PLLC

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1265585335
  Medicare reassignment NPD
• Competitive Fitness, LLC

  dba Competitive Fitness & Physical Therapy

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1063446011
  NPD (past)
• Advanced Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1437214459
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1982639878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9797 N GLEN HOLLOW LN",
            "city": "HAUSER",
            "state": "ID",
            "postal_code": "838546159",
            "telephone_number": "208-771-3579",
            "fax_number": "208-561-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 N GLEN HOLLOW LN",
            "city": "HAUSER",
            "state": "ID",
            "postal_code": "838546159",
            "telephone_number": "208-771-3579",
            "fax_number": "208-561-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "1651155",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Butler Physical Therapy
• Shari Clowe
• Teressa Linda Durham
• Global Health Executive Mentoring, Inc.
• Brett E. Haney, RPH, BCPP
• Brian A Johnson, LPCC

• Physical Therapist in Hauser, ID
• Providers in Hauser, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.