Mercedes Joanne Burt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

286344 Issued in OR

Practice address

9090 Yank Gulch Rd
Talent, OR 97540-7773

Phone

(541) 601-0946

Fax

(541) 535-1655

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1609941707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 YANK GULCH RD",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975407773",
            "telephone_number": "541-601-0946",
            "fax_number": "541-535-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 YANK GULCH RD",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975407773",
            "telephone_number": "541-601-0946",
            "fax_number": "541-535-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "MERCEDES",
        "middle_name": "JOANNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OR",
            "license": "286344",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "286344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Elisabeth Bolles, M.A., L.P.C.
• Bradshaw Physical Therapy & Wellness Center LLC
• Roger B Bradshaw
• Mira Brockelman
• Amy Frances Burlison
• Mary Elizabeth Caron, D.O.
• Cascadia Counseling Services LLC
• Cherocreek Nation
• Gene Richard Chester, ND
• Tom K. Clunie, D.C.

• All providers in Talent, OR
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.