Amy Venhuizen Burba, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0000001723 Issued in TN

Practice address

1 Siskin PLZ
Chattanooga, TN 37403-1306

Phone

(423) 634-1385

Fax

(423) 634-1396

NPI assigned

Nov 2, 2009

Sex

Female

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

State licenses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1730415340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-634-1385",
            "fax_number": "423-634-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-634-1385",
            "fax_number": "423-634-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBA",
        "first_name": "AMY",
        "middle_name": "VENHUIZEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "0000001723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley C Bumpass
• Jacelon L Bunger, M.ED.
• Danielle Lee Bunn
• Leslie Bunn, L. AC.
• Melissa Tyler Bunnell, DO
• Taneal Burch, BCBA
• Brian K Burchell, PHARMD
• Shelley Anne Burdine-Prevost, L.P.C.-M.H.S.P.
• Brian Keith Burgan, DPM
• Ted Wayne Burgdorff, R.N.

• Occupational Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.