Individual provider Active NPI

Heidi Marie Burgo, THERAPIST

  • Occupational Therapy Assistant
  • Taunton, MA
National Provider Identifier
1700549607
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
68 Dean St
Taunton, MA 02780-2713
Phone
(800) 385-2527
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

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)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

68 Dean St
Taunton, MA 02780-2713

Mailing address

198 Sycamore St
New Bedford, MA 02740-4138
Phone (508) 558-1987

Other names 1

NPPES NPI Registry
  • Ms. Heidi Marie Burgo Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2021.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1700549607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 SYCAMORE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404138",
            "telephone_number": "508-558-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 DEAN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802713",
            "telephone_number": "800-385-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGO",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BURGO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "COT/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.