Active NPI
Kari Burch, O.T.D.
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1730623653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2015001265
- Practice address
- 4389 W Pine Blvd
Saint Louis, MO 63108-2205 - Phone
- (314) 645-6247
- Fax
- (314) 645-6249
- NPI assigned
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.011766 | IL | |
| Occupational Therapist | 225X00000X | 2015001265 | MO | Primary |
Addresses
Primary practice location
4389 W Pine Blvd
Saint Louis, MO 63108-2205
Mailing address
4389 W Pine Blvd
Saint Louis, MO 63108-2205
Phone (314) 645-6247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011766 | IL | MD | Occupational Therapist |
| 2015001265 | MO | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Kirkwood, MO
- NPI 1144760471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1730623653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4389 W PINE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082205",
"telephone_number": "314-645-6247",
"fax_number": "314-645-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4389 W PINE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082205",
"telephone_number": "314-645-6247",
"fax_number": "314-645-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "KARI",
"credential": "O.T.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011766",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2015001265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.