Individual provider Active NPI

Jonathan Thomas Burroughs

  • Occupational Therapist
  • Glen Carbon, IL
National Provider Identifier
1144148537
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
200 Brightly Way
Glen Carbon, IL 62034-3415
Phone
(618) 305-9292
NPI assigned
Jul 6, 2026
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.