Healthcare Provider Details

I. General information

NPI: 1497855514
Provider Name (Legal Business Name): JOSEF ANTHONY BUTKUS MS OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-8402
US

IV. Provider business mailing address

4004 ILLINOIS AVE NW
WASHINGTON DC
20011-5928
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4866
  • Fax:
Mailing address:
  • Phone: 202-669-1281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119003418
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: