Individual provider Active NPI

Caitlin Adams Burnett, MOTR/L, CHT

  • Occupational Therapist
  • Jackson, MS
National Provider Identifier
1629448899
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3103 Issued in MS
Practice address
1200 N State St Ste 210
Jackson, MS 39202-2000
Phone
(601) 714-3202
Fax
(601) 714-3416
NPI assigned
Sep 30, 2015
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 OT3103 MS Primary

Addresses

Primary practice location

1200 N State St Ste 210
Jackson, MS 39202-2000

Mailing address

302 Hunters CRST
Ridgeland, MS 39157-8711

Other practice location 1

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001026 MS Practitioner - Occupational Therapist in Private Practice 2466858154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Burn Hand and Reconstruction Centers PCGroup PAC ID 2163891268, 13 clinicians

Practice addresses (Care Compare)

1225 N State St
Jackson, MS 39202-2064
Phone (833) 672-8767

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3103MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Feb 15, 2023 Accepting new patients
Key Therapy Services, LLC Occupational Therapist CurrentSince Aug 20, 2021 Accepting new patients
Mississippi Burn, Hand and Reconstruction Centers PC CurrentSince Apr 1, 2024 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Occupational Therapist CurrentSince Feb 15, 2023 Accepting new patients
Sports Therapy Center PastSince Aug 20, 2021 Accepting new patients

Locations

108 Clinton Pkwy
Clinton, MS 39056
Phone (601) 926-2018

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

201 E Layfair Dr
Flowood, MS 39232
Phone (601) 420-6867

201 E Layfair Dr
Ste 125
Flowood, MS 39232
Phone (601) 420-6867

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1200 N State St
Ste 210
Jackson, MS 39202
Phone (601) 714-3202

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1225 N State St
Ste 103
Jackson, MS 39202
Phone (769) 268-6520

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1629448899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HUNTERS CRST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 210",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022000",
            "telephone_number": "601-714-3202",
            "fax_number": "601-714-3416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Chadwick Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392043404",
            "country_code": "US",
            "telephone_number": "601-376-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CAITLIN",
        "middle_name": "ADAMS",
        "credential": "MOTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.