KASEY BUTLER – Speech-Language Pathologist, NPI 1285476093

KASEY BUTLER is a healthcare provider. based in Provo, Utah. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. The NPI Number for KASEY BUTLER is 1285476093

Main info

Organization
2 Years Of Experience
Accepts Medicare Assignment
Name
KASEY BUTLER
NPI
1285476093
Phone
Not provided
Address
122 E 1700 S BLDG 3
Enumeration Date
11 June 2024
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3852485600
Graduation Year
2024 (2 years ago)
PAC ID
2062956261
Group Practice PAC ID
7810439130
Professional Enrollment ID
I20240628001546
Address ID
UT846065644PR122XX1700301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

87 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in UT

Provider Addresses for KASEY BUTLER

  • 122 E 1700 S BLDG 3

    PROVO, UT 846065644

    Phone:

    Mailing address matches the actual address.

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: 2024-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240628001546IQualified Speech Language PathologistUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810439130View full group profile
NameSpecialtyState
Marriage And Family TherapistUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

Can I verify KASEY BUTLER with an NPI only?
You can start verification with NPI 1285476093 for KASEY BUTLER, then check state licensing separately.
Can I rely on KASEY BUTLER being an active provider?
As of the registry snapshot, KASEY BUTLER is marked active.
What healthcare role does KASEY BUTLER hold?
Scheduling teams often label KASEY BUTLER under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What address line appears for KASEY BUTLER?
KASEY BUTLER's geographic hint is Provo, Utah in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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