Amanda Elaine Burleson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

8371 Issued in NC

Practice address

3800 Shamrock Dr
Charlotte, NC 28215-3220

Phone

(704) 532-7000

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1285997056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11834 SHOEMAKER CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SHAMROCK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153220",
            "telephone_number": "704-532-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "AMANDA",
        "middle_name": "ELAINE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "8371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burkholder Wellness, PLLC
• Jessica Ann Burkley, LCSW
• Kelsey Titgen Burks, PT
• Taylor Dupre Burl, MD
• Aerial Burleson, PT, DPT, ATC, CSCS
• Erika V Burley, DMD
• Carita Burmester
• Joshua Paul Burnett, M.A.
• Kathryn Lee Tinney Burnett, MA, LPCA
• Samantha Burnett

• Occupational Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.