Jessica Burchett, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1960 Issued in AR

Practice address

115 Pointer TRL W
Van Buren, AR 72956-2236

Phone

(479) 471-1290

Fax

(479) 474-5182

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arkansas Pediatric Therapy

  • Behavior Analyst
  • Van Buren, AR
  • NPI 1871348466
  NPD
• Arkansas Pediatric Therapy

  • Clinic/Center
  • Van Buren, AR
  • NPI 1922134972
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1104657022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562236",
            "telephone_number": "479-471-1290",
            "fax_number": "479-474-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562236",
            "telephone_number": "479-471-1290",
            "fax_number": "479-474-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "JESSICA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "1960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brownwood Manor, Inc.
• Susan Elaine Brueggemann
• Blake Bryant
• Haley Bryant, LPC, LAMFT
• Addison Michelle Bull
• Kali Burgess
• Brittlyn Nicole Burris
• Addison R Buttress, PTA
• Jason Bynum, CIT
• Joseph Bynum, QBHP, ADC

• Occupational Therapy Assistant in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.