Sara Ashley Butz
Specialist/Technologist, Athletic Trainer in Baltimore, MD. Individual provider (NPI-1).
NPI number1104543032
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1104543032
- Entity type
- Individual (NPI-1)
- Name
- Sara Ashley Butz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2022
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A0001654 | MD | Yes |
Practice location
109 Dumbarton Rd Apt ABaltimore, MD 21212-1416
Phone 443-987-5212
Mailing address
21 Springtime WayParkville, MD 21234-8727
Phone 443-987-5212
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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