Julie Rae Burdick

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-003193 Issued in AZ

Practice address

4100 S Lindsay Rd Ste 113
Gilbert, AZ 85297-1507

Phone

(480) 219-3953

NPI assigned

Jul 23, 2020

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

Electronic endpoints 1

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669081964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 S CARDINAL ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988477",
            "telephone_number": "602-402-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD STE 113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971507",
            "telephone_number": "480-219-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "JULIE",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-003193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://fdhkids.com",
            "affiliation": "Y",
            "address_1": "4100 S Lindsay Rd Ste 113",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852971507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hawantu M Bundu, NURSE
• Clinton Ray Bunker, PT,DPT
• Thomas Buonopane, RBT
• Nicole Burbank
• Jasmine Burch, BCBA, LBA
• Amanda Lori Burgess
• Suzanne Maria Burgess, OT
• Lisa Nicole Burgin, FNP-C
• Cassandra Grace Burk
• Debra Burklund, MA, LPC, LISAC

• Occupational Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.