Michelle Nicole Burkhard, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60178454 Issued in WA

Practice address

12921 1St Ave SW
Burien, WA 98146-3302

Phone

(321) 356-1636

NPI assigned

Jan 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle Nicole Perry Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1083037840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 1ST AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463302",
            "telephone_number": "321-356-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 1ST AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463302",
            "telephone_number": "321-356-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARD",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60178454",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA9958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PERRY",
            "middle_name": "NICOLE",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Burien Medical Eye Care, LLC
• Burien Medical Investors, LLC
• Burien Operations, LLC
• Burien Post-Acute Services Inc
• Allie Burke, AUD
• Fay Joseph Bursell, LMP
• Daniel Walker Bushyhead, MD
• Pierre-Yves Frederic Butheau, M.S.P.T.
• David J. Butler, M.D.
• Jefferson Butler

• Occupational Therapy Assistant in Burien, WA
• Providers in Burien, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.