Individual provider Active NPI

Katherine L Burnett, OT

  • Occupational Therapist
  • Spartanburg, SC
National Provider Identifier
1184932725
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3719 Issued in SC
Practice address
100 Willow LN
Spartanburg, SC 29307-1365
Phone
(864) 641-3125
Fax
(864) 514-5739
NPI assigned
Sep 16, 2010
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 3719 SC Primary

Addresses

Primary practice location

100 Willow LN
Spartanburg, SC 29307-1365

Mailing address

PO Box 170038
Spartanburg, SC 29301-0020
Phone (864) 574-7282

Other practice location 1

2400 Winchester Pl Ste 102B
Spartanburg, SC 29301-1518
Phone (864) 576-7188

Other identifiers 2

IdentifierTypeStateIssuer
TH2306MedicaidSC
3719OtherSCPROFESSIONAL BOARD OF OCCUPATIONAL THERAPY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3719SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ats Kids LLC Occupational Therapist CurrentSince Jun 3, 2025 Accepting new patients
Advanced Therapy Solutions, Inc. Occupational Therapist PastSince Apr 13, 2025 Accepting new patients
Advanced Therapy Solutions, Inc Occupational Therapist Past Accepting new patients
Advanced Therapy Solutions, Inc. Occupational Therapist Past Accepting new patients

Locations

100 Willow Ln
Spartanburg, SC 29307
Phone (864) 542-8714

2400 Winchester Pl
Ste 102B
Spartanburg, SC 29301
Phone (864) 576-7188

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1184932725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170038",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293010020",
            "telephone_number": "864-574-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLOW LN",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071365",
            "telephone_number": "864-641-3125",
            "fax_number": "864-514-5739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Winchester Pl Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293011518",
            "country_code": "US",
            "telephone_number": "864-576-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH2306",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "3719",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.