Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corie R Butcher, PT, DPT

Individual provider Physical Therapist · NPI 1023690229

Corie R Butcher, PT, DPT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

411 E Ireland Rd Ste 400
South Bend, IN 46614-2681
Phone: (574) 231-8950
Fax: (574) 231-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05014081A (IN)

Record details

NPI number1023690229
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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