Shauna Denise Burchett, OTRL

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

OT00002144 Issued in WA

Practice address

1605 W Garland Ave
Spokane, WA 99205-2620

Phone

(509) 444-8383

Fax

(509) 444-8385

NPI assigned

Dec 1, 2006

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 identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Synergy Healthcare Inc.

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1780741439
  Medicare reassignment NPD
• Synergy Healthcare for Kids Inc.

  • Rehabilitation Clinic/Center
  • Dalton Gardens, ID
  • NPI 1518538685
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508934274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 N BEMIS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052620",
            "telephone_number": "509-444-8383",
            "fax_number": "509-444-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "SHAUNA",
        "middle_name": "DENISE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "WA",
            "license": "OT00002144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8354177",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS-REGENCE",
            "identifier": "6227BU",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0158028",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Jo Buntrock, M.ED.
• Katherine Elaine Bunze
• Melissa Buob, RN
• Ty Burbridge
• Adrian Corey Burcham, MSW
• Susan Colleen Burchill, FNP
• Hallie Burchinal
• Kayla Michelle Burck
• Alexis Burdick-Schmierer
• Jordyn Burdick

• Neurorehabilitation Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Neurorehabilitation Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.