Dane Eric Burch, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Ridgefield, NJ
NPI 1114845302 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1114845302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 46TA09256600 (NJ)
- Practice address
- 761 Shetland LN
Ridgefield, NJ 07657-1239 - Phone
- (201) 566-8974
- NPI assigned
- Jul 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | 46TA09256600 | NJ | Yes |
Addresses
Primary practice location
761 Shetland LN
Ridgefield, NJ 07657-1239
Mailing address
761 Shetland LN
Ridgefield, NJ 07657-1239
Phone (201) 566-8974
Other providers in Ridgefield, NJ
- Frehiwot Berhanu
- Bethesda Acupuncture Clinic
- Borough of Ridgefield
- Borough of Ridgefield
- Broad Ave Chiropractic LLC
- Shella Zaragoza Cajita
- Paul Anthony Calinog
- Maryvonne Claude Cardell
- Suleika M Cardoza
- Sergio Andres Chamorro
All providers in Ridgefield, NJ · Occupational Therapy Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.