Active NPI
Mary Burger, OT
- Occupational Therapist
- Fort Worth, TX
National Provider Identifier
1104264274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103050
- Practice address
- 3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277 - Phone
- (817) 569-4300
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103050 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St
HTN, Client Accounting
Fort Worth, TX 76107-7277
Mailing address
PO Box 2603
HTN, Client Accounting
Fort Worth, TX 76113-2603
Phone (817) 569-4300
Other practice location 1
3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Phone (817) 569-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089444604 | Medicaid | TX | |
| 82S610 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103050 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Health My Resources of Tarrant County | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Worth, TX
- NPI 1376590422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1104264274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2603",
"address_2": "HTN, CLIENT ACCOUNTING",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761132603",
"telephone_number": "817-569-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"address_2": "HTN, CLIENT ACCOUNTING",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-569-4300"
}
],
"practiceLocations": [
{
"address_1": "3840 Hulen St Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761077269",
"country_code": "US",
"telephone_number": "817-569-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGER",
"first_name": "MARY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089444604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82S610",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.