Individual provider Active NPI

Tajhma Dashawn Burroughs

  • Occupational Therapist
  • Hamden, CT
National Provider Identifier
1760986079
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003228 Issued in CT
Practice address
41 North St
Hamden, CT 06514-4920
Phone
(203) 676-9114
NPI assigned
Mar 21, 2018
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003228 CT Primary

Addresses

Primary practice location

41 North St
Hamden, CT 06514-4920

Mailing address

41 North St
Hamden, CT 06514-4920
Phone (203) 676-9114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611003417 CT Practitioner - Occupational Therapist in Private Practice 2163755810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Rehab OT LLCGroup PAC ID 1850676461, 7 clinicians

Practice addresses (Care Compare)

56 Partridge Dr
Southington, CT 06489-4017

999 Oronoque LN
Suite 303
Stratford, CT 06614-1379
Phone (203) 979-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3228CTMDMental Health Counselor
003228CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axxis Wellness, Inc. Occupational Therapist CurrentSince Dec 5, 2021 Accepting new patients
Synergy Rehab OT LLC CurrentSince Oct 24, 2025 Accepting new patients
Axxis Wellness at Home Occupational Therapist Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1760986079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NORTH ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144920",
            "telephone_number": "203-676-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NORTH ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144920",
            "telephone_number": "203-676-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "TAJHMA",
        "middle_name": "DASHAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.