Active NPI
Joel William Burde, OTR
- Occupational Therapist
- Columbus, IN
National Provider Identifier
1285880765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004170A
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31004170A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anew Therapy & Wellness LLC | Occupational Therapist | Current | Accepting new patients |
| Anew Therapy & Wellness LLC | Occupational Therapist | Current | 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.
-
- Rehabilitation Clinic/Center
- Terre Haute, IN
- NPI 1225792534
IN, Occupational Therapist
-
- Rehabilitation Clinic/Center
- Indianapolis, IN
- NPI 1346002839
Occupational Therapist
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.