Individual provider Active NPI

Jessica Burns

  • Occupational Therapy Assistant
  • Delray Beach, FL
National Provider Identifier
1811668924
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA15222 Issued in FL
Practice address
5162 Linton Blvd Ste 106
Delray Beach, FL 33484-6567
Phone
(561) 336-0110
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA15222 FL Primary

Addresses

Primary practice location

5162 Linton Blvd Ste 106
Delray Beach, FL 33484-6567

Mailing address

3104 Shoma Dr
Royal Palm Beach, FL 33414-4366

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jburns0125@gmail.com Lymphedema Therapy Specialists, Inc.

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

LicenseStateTypeSpecialty
OTA15222FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1811668924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 SHOMA DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD STE 106",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-336-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jburns0125@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Lymphedema Therapy Specialists, Inc.",
            "address_1": "5162 Linton Blvd Ste 106",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334846567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.