Individual provider Active NPI

Katheryn Morgan Burgess, OTR/L

  • Occupational Therapist
  • Winston Salem, NC
National Provider Identifier
1417866617
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18687 Issued in NC
Practice address
475 Corporate Square Dr
Winston Salem, NC 27105-9100
Phone
(336) 727-2816
NPI assigned
Sep 3, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 18687 NC Primary

Addresses

Primary practice location

475 Corporate Square Dr
Winston Salem, NC 27105-9100

Mailing address

475 Corporate Square Dr
Winston Salem, NC 27105-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1417866617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CORPORATE SQUARE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CORPORATE SQUARE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059100",
            "telephone_number": "336-727-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "KATHERYN",
        "middle_name": "MORGAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "18687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.