Caitlyn R Burgess, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3368 Issued in MS

Practice address

12311 Ashley Dr Ste a
Gulfport, MS 39503-2950

Phone

(662) 349-8787

Fax

(662) 349-8757

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

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.

• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448

  Occupational Therapist

  Medicare reassignment NPD
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Baldwyn, MS
  • NPI 1013383496

  Occupational Therapist

  NPD (past)
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)
• Simple Strokes Therapy Consultants, PA

  • Pediatric Occupational Therapist
  • Gulfport, MS
  • NPI 1508250184
  NPD (past)
• Simple Strokestherapy Consultants, PA

  • Physical Therapist
  • Southaven, MS
  • NPI 1780605683

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1114448594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 ASHLEY DR STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032950",
            "telephone_number": "662-349-8787",
            "fax_number": "662-349-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 ASHLEY DR STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032950",
            "telephone_number": "662-349-8787",
            "fax_number": "662-349-8757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Hardy St Ste J1",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021300",
            "country_code": "US",
            "telephone_number": "601-336-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "CAITLYN",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Buckingham
• Ebony Buckley
• Shawanna Bumpers
• Brandon Joseph Bunol, MD
• Larry Ross Buntyn Sr., DDS
• Patricia Burgess, PT
• Peggy Burke, RN
• James Sheldon Burnett, IDC
• Karen R Burns, M.S.
• Ralph Lane Burroughs III, N.P.

• Occupational Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.