Erik R Burtraw, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

8122 E Wind Lake Rd
Wind Lake, WI 53185-1526

Phone

(262) 949-2359

NPI assigned

Sep 25, 2014

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1669874301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 E WIND LAKE RD",
            "city": "WIND LAKE",
            "state": "WI",
            "postal_code": "531851526",
            "telephone_number": "262-949-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 E WIND LAKE RD",
            "city": "WIND LAKE",
            "state": "WI",
            "postal_code": "531851526",
            "telephone_number": "262-949-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTRAW",
        "first_name": "ERIK",
        "middle_name": "R",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Wind Lake, WI
• Providers in Wind Lake, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.