Individual provider Active NPI

Jennifer Kay Burky, OTR/L

  • Occupational Therapist
  • Chagrin Falls, OH
National Provider Identifier
1356527022
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
03815 Issued in OH
Practice address
18306 Cranberry Ridge LN
Chagrin Falls, OH 44023-4807
Phone
(440) 463-8165
NPI assigned
Jan 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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 03815 OH Primary

Addresses

Primary practice location

18306 Cranberry Ridge LN
Chagrin Falls, OH 44023-4807

Mailing address

18306 Cranberry Ridge LN
Chagrin Falls, OH 44023-4807
Phone (440) 463-8165

Other names 1

  • Jennifer Kay Skaggs Former name

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

LicenseStateTypeSpecialty
03815OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Playtime Therapy LLC PastSince Feb 28, 2017 Accepting new patients

Organizations & group practices 1

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": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1356527022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18306 CRANBERRY RIDGE LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234807",
            "telephone_number": "440-463-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18306 CRANBERRY RIDGE LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234807",
            "telephone_number": "440-463-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKY",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "03815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SKAGGS",
            "middle_name": "KAY",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.