Individual provider Active NPI

Joel William Burde, OTR

  • Occupational Therapist
  • Columbus, IN
National Provider Identifier
1285880765
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004170A Issued in IN
Practice address
2100 Midway St
Columbus, IN 47201-3722
Phone
(812) 372-8447
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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 31004170A IN Primary

Addresses

Primary practice location

2100 Midway St
Columbus, IN 47201-3722

Mailing address

2 Salzburg Blvd Apt C
Columbus, IN 47201-7125
Phone (618) 303-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106003482 IN Practitioner - Occupational Therapist in Private Practice 8325576259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anew Therapy and Wellness LLCGroup PAC ID 8123415312, 29 clinicians

Practice addresses (Care Compare)

1450 E Crossing Blvd
Core Therapy and Wellness Honey Cre
Terre Haute, IN 47802-5316
Phone (812) 298-8209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31004170AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Therapy & Wellness LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients
Anew Therapy & Wellness LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

6900 Gray Rd
Indianapolis, IN 46237
Phone (317) 788-2500

Organizations & group practices 2

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1285880765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SALZBURG BLVD APT C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472017125",
            "telephone_number": "618-303-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MIDWAY ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013722",
            "telephone_number": "812-372-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDE",
        "first_name": "JOEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004170A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.