Active NPI
Allison Dinius Burch, OTR/L
- Occupational Therapist
- Pooler, GA
National Provider Identifier
1225290398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5967
- Practice address
- 38 Belle Gate CT
Pooler, GA 31322-9678 - Phone
- (843) 408-2461
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5967 | GA | Primary |
| Occupational Therapist | 225X00000X | 3122 | SC |
Addresses
Primary practice location
38 Belle Gate CT
Pooler, GA 31322-9678
Mailing address
38 Belle Gate CT
Pooler, GA 31322-9678
Phone (843) 408-2461
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 |
|---|---|---|---|
| 5967 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1225290398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 BELLE GATE CT",
"city": "POOLER",
"state": "GA",
"postal_code": "313229678",
"telephone_number": "843-408-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 BELLE GATE CT",
"city": "POOLER",
"state": "GA",
"postal_code": "313229678",
"telephone_number": "843-408-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "ALLISON",
"middle_name": "DINIUS",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "5967",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3122",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.