Individual provider Active NPI

Amy Lynn Burt, PT

  • Occupational Therapist
  • Waynesburg, PA
National Provider Identifier
1639499106
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009185 Issued in PA
Practice address
160 Greene PLZ
RT 21 & 79
Waynesburg, PA 15370-8142
Phone
(724) 852-2504
Fax
(724) 852-2547
NPI assigned
Jun 8, 2010
Last updated
Jun 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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 OC009185 PA Primary

Addresses

Primary practice location

160 Greene PLZ
RT 21 & 79
Waynesburg, PA 15370-8142

Mailing address

625 Lincoln Ave
Ste 107 Professional Plaza
Charleroi, PA 15022-2451
Phone (724) 483-1673

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
OC009185PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1639499106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "STE 107 PROFESSIONAL PLAZA",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-1673",
            "fax_number": "724-483-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GREENE PLZ",
            "address_2": "RT 21 & 79",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708142",
            "telephone_number": "724-852-2504",
            "fax_number": "724-852-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.