Jolene Michele Burch, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003953 Issued in CT

Practice address

14 Westport Ave
Norwalk, CT 06851-3915

Phone

(800) 860-6656

NPI assigned

Sep 4, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1013266220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WESTFIELD RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513915",
            "telephone_number": "800-860-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "JOLENE",
        "middle_name": "MICHELE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "3953",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergiana Bruno, LICENSED MESSAGE THE
• Matthew Joseph Bryck, PHARMD
• Olivia Bucci, LCSW
• Brandon Gerard Buchla, D.C.
• Christen Bucknall
• Lori Burns-Galdenzi, LCSW
• Yonzel Burt, ED.D; LCSW; CCTP
• Michael E Bush, M.D.
• Kristin Mary Butler, DMD
• Sean Butler, M.D.

• Occupational Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.