Active NPI
Burl Warrick, COTA/L
- Physical Disabilities Residential Treatment Facility
- East Liverpool, OH
National Provider Identifier
1205243300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 03835
- Practice address
- 748 Sophia St
East Liverpool, OH 43920-2614 - Phone
- (330) 708-0700
- NPI assigned
- Jul 21, 2014
- 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 |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 03835 | OH | Primary |
Addresses
Primary practice location
748 Sophia St
East Liverpool, OH 43920-2614
Mailing address
748 Sophia St
East Liverpool, OH 43920-2614
Phone (330) 708-0700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03835 | OH | MD | Physical Disabilities Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1205243300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 SOPHIA ST",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439202614",
"telephone_number": "330-708-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 SOPHIA ST",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439202614",
"telephone_number": "330-708-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARRICK",
"first_name": "BURL",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "OH",
"license": "03835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.