Active NPI
Robert William Burns IV, OTR
- Occupational Therapist
- Westfield, MA
National Provider Identifier
1184386013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12218
- Practice address
- 40 Court St
Westfield, MA 01085-3669 - Phone
- (413) 562-0001
- NPI assigned
- Oct 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 12218 | MA | Primary |
Addresses
Primary practice location
40 Court St
Westfield, MA 01085-3669
Mailing address
29 W School St
Westfield, MA 01085-2867
Phone (141) 328-5658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Rehab PLLC | Multi-Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1184386013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 W SCHOOL ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010852867",
"telephone_number": "141-328-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 COURT ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853669",
"telephone_number": "413-562-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.