Individual provider Active NPI

Vaughn Andrew Burgeson, ORT/L

  • Occupational Therapist
  • Toledo, OH
National Provider Identifier
1477565935
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT02262 Issued in OH
Practice address
3234 Executive Pkwy
Suite 111
Toledo, OH 43606-1398
Phone
(419) 536-8030
Fax
(419) 536-8073
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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 OT02262 OH Primary

Addresses

Primary practice location

3234 Executive Pkwy
Suite 111
Toledo, OH 43606-1398

Mailing address

3425 Executive Pkwy
Suite 128
Toledo, OH 43606-1326
Phone (419) 537-0764

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT02262OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DHT Hand Therapy Limited Partnership Occupational Therapist Past Accepting new patients
Desert Foot & Ankle P C Past Accepting new patients
DHT Hand Therapy Limited Partnership PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1477565935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY",
            "address_2": "SUITE 128",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061326",
            "telephone_number": "419-537-0764",
            "fax_number": "419-537-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 EXECUTIVE PKWY",
            "address_2": "SUITE 111",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061398",
            "telephone_number": "419-536-8030",
            "fax_number": "419-536-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESON",
        "first_name": "VAUGHN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "ORT/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT02262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.