Provider Demographics
NPI:1801860127
Name:BUTLER PT, LLC
Entity type:Organization
Organization Name:BUTLER PT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:724-445-2057
Mailing Address - Street 1:160 MEDICAL CENTER RD
Mailing Address - Street 2:CHICORA MEDICAL CENTER PROFESSIONAL BUILDING
Mailing Address - City:CHICORA
Mailing Address - State:PA
Mailing Address - Zip Code:16025-2612
Mailing Address - Country:US
Mailing Address - Phone:724-445-2057
Mailing Address - Fax:724-282-6624
Practice Address - Street 1:160 MEDICAL CENTER RD
Practice Address - Street 2:CHICORA MEDICAL CENTER PROFESSIONAL BUILDING
Practice Address - City:CHICORA
Practice Address - State:PA
Practice Address - Zip Code:16025-2612
Practice Address - Country:US
Practice Address - Phone:724-445-2057
Practice Address - Fax:724-282-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty