Active NPI
Karen M Burridge, COTA
- Occupational Therapy Assistant
- Clearwater, FL
National Provider Identifier
1780804302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- COTA9393
- Practice address
- 21905 US Highway 19 N
Clearwater, FL 33765-2342 - Phone
- (727) 669-4245
- Fax
- (727) 669-6835
- NPI assigned
- Apr 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | COTA9393 | FL | Primary |
Addresses
Primary practice location
21905 US Highway 19 N
Clearwater, FL 33765-2342
Mailing address
10021 SW 67TH Dr
Gainesville, FL 32608-6304
Phone (352) 371-3236
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COTA9393 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780804302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10021 SW 67TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326086304",
"telephone_number": "352-371-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21905 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652342",
"telephone_number": "727-669-4245",
"fax_number": "727-669-6835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIDGE",
"first_name": "KAREN",
"middle_name": "M",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "COTA9393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.