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

Jeremy Buttram, PTA

Individual provider Physical Therapy Assistant · NPI 1154296895

Jeremy Buttram, PTA is a Physical Therapy Assistant in Byron, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4405 E Ridgeview Ln
Byron, IL 61010-9391
Phone: (815) 312-6872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160003564 (IL)

Record details

NPI number1154296895
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 10, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

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