Active NPI
Jonathan Thomas Burroughs
- Occupational Therapist
- Glen Carbon, IL
National Provider Identifier
1144148537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 200 Brightly Way
Glen Carbon, IL 62034-3415 - Phone
- (618) 305-9292
- NPI assigned
- Jul 6, 2026
- Last updated
- Jul 6, 2026
- Sex
- Male
- 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 | IL | Primary |
Addresses
Primary practice location
200 Brightly Way
Glen Carbon, IL 62034-3415
Mailing address
245 Magnolia Dr
Glen Carbon, IL 62034-1605
Other practice location 1
3450 Village Ln
Granite City, IL 62040-7704
Phone (618) 305-9292
Other practice location 2
39 Dorothy Dr
Troy, IL 62294-1389
Phone (618) 305-9292
Other practice location 3
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 305-9292
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1144148537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MAGNOLIA DR",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BRIGHTLY WAY",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343415",
"telephone_number": "618-305-9292"
}
],
"practiceLocations": [
{
"address_1": "3450 Village Ln",
"address_purpose": "LOCATION",
"city": "Granite City",
"state": "IL",
"postal_code": "620407704",
"country_code": "US",
"telephone_number": "618-305-9292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39 Dorothy Dr",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "IL",
"postal_code": "622941389",
"country_code": "US",
"telephone_number": "618-305-9292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7108 Marine Rd",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "IL",
"postal_code": "620254282",
"country_code": "US",
"telephone_number": "618-305-9292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURROUGHS",
"first_name": "JONATHAN",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.