MRS. JENNIFER D BUTERA (NPI# 1740434828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740434828 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER D BUTERA |
| Other Name | MS. JENNIFER D HENDRICKS |
| Credential | P.T. |
| Practice Address |
171 Intrepid Ln Syracuse NY 13205-2548 |
| Practice Telephone | 3154374689 |
| Practice Fax Number | 3154374698 |
| Mailing Telephone | 3154374689 |
| Mailing Fax Number | 3154374698 |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2008-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
018457-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829084 | Jennifer Rae Butera | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2006-05-18 |
| Street Address |
171 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902907488 | Todd M Stady | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-09-26 |
| 1154937308 | Andrea Auer | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-09-22 |
| 1699386649 | Chelsea Hufnagle | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-13 |
| 1659981934 | Margaret Ann Conklin | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-03 |
| 1477171726 | Julia Elizabeth Johnson | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-07-13 |
| 1053934786 | Kristin Hinkey | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-05-28 |
| 1588297436 | Abigail Jane Izzo | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-02-19 |
| 1730723453 | Teresa Jean Barrett | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-11-06 |
| 1679115588 | Shea Lynn Beachner | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| 1396387296 | Katelyn Michelle Warren | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255611281 | Barbara Ross | Physical Therapist | 710 Hawley Ave, Syracuse, NY 13203-2924 | 2011-08-22 |
| 1679872758 | Wendy Lynn Dorfman | Physical Therapist | 108 Southview Rd, Syracuse, NY 13209-2206 | 2011-03-15 |
| 1225263031 | Anne Marie Abt | Physical Therapist | 139 Willumae Dr, Syracuse, NY 13208-1729 | 2009-05-22 |
| 1598910143 | Kristine Marjorie Lynch | Physical Therapist | 3049 E Genesee St, Syracuse, NY 13224-1644 | 2008-11-24 |
| 1801049960 | Coleen Teri Shaver | Physical Therapist | 4400 Cedarvale Rd, Syracuse, NY 13215-9696 | 2008-11-02 |
| 1063848018 | Margaret De Ruijter | Physical Therapist | 400 Walberta Rd, Syracuse, NY 13219-2214 | 2013-09-23 |
| 1881820439 | Christine Elizabeth Waldron | Physical Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2009-06-09 |
| 1821243015 | Christopher P Powell | Physical Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2008-12-01 |
| 1124273487 | Theresa M Demer | Physical Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2008-11-28 |
| 1770652398 | Anne Sheridan | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-11-07 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.