JENNIFER E. BUTLER (PT) – Physical Therapist, NPI 1982639878
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID
Provider Addresses for JENNIFER E. BUTLER (PT)
21651 E COUNTY VISTA DR
STE E
LIBERTY LAKE, WA 990197710
Phone: (509) 822-7834
Fax: (509) 863-9673
Type: Mailing
9797 N GLEN HOLLOW LN
HAUSER, ID 838546159
Phone: (208) 771-3579
Fax: (208) 561-6194
Type: Mailing
East Mission Avenue, Greenacres, Spokane Valley, Spokane County, Washington, 99037-9510, United States
SUITE 109
SPOKANE VALLEY, WA 992163060
Phone: (509) 891-2623
Fax: (509) 891-2624
Type: Mailing
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: 2009-05-01
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20060412000354 | I | Physical Therapist In Private Practice | ID | TBD |
| I20090501000248 | I | Physical Therapist In Private Practice | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99019)
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