Jessica Marie Burdick, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

016271 Issued in NY

Practice address

165 Charles St
Painted Post, NY 14870-1100

Phone

(607) 936-3700

NPI assigned

Jul 23, 2010

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

Other names 1

• Jessica Marie Cunningham Former name

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1295048858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 GOFF RD",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303647",
            "telephone_number": "607-331-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CHARLES ST",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148701100",
            "telephone_number": "607-936-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CUNNINGHAM",
            "middle_name": "MARIE",
            "credential": "OTD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Lynn Blethen, DO
• Cheryl Jean Brewer, RN
• Sherry Ann Brion
• Kristi Brown
• Mark Brzozowski, RPH
• Kurt Thomas Callison, D.O.
• Carefirst Ny, Inc.
• Shannon Carey
• Kaylee Carr, RN
• Michael Anthony Caruso, PA

• All providers in Painted Post, NY
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.