KENNETH PATRICK BUTLER (DPT) – Physical Therapist, NPI 1073284543
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,004 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD
Provider Addresses for KENNETH PATRICK BUTLER (DPT)
8831 S RUSSELL PARK RD
SALT LAKE CITY, UT 841216140
Phone: (801) 712-3251
Type: Mailing
2000 MEDICAL PKWY STE 404
ANNAPOLIS, MD 214013746
Phone: (443) 481-1140
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211122000147 | I | Physical Therapist In Private Practice | DC | TBD |
| I20211201000014 | I | Physical Therapist In Private Practice | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,043 | 278 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 752 | 237 | $0 |
| 97530 | Therapy procedure using functional activities | 545 | 179 | $0 |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | 202 | 136 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 198 | 77 | $0 |
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | KS | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | MD |
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