Tiffany Monique Burgess, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R4482 Issued in KY

Practice address

925 South Semoran Boulevard Suite 108
National Staffing Solutions
Winter Park, FL 32792

Phone

(800) 521-9604

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1861737306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 PLANK DR UNIT 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402197077",
            "telephone_number": "502-551-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SOUTH SEMORAN BOULEVARD SUITE 108",
            "address_2": "NATIONAL STAFFING SOLUTIONS",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "800-521-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "TIFFANY",
        "middle_name": "MONIQUE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R4482",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004951A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avdesh R Buragadda, MD
• David M Burch
• Gloria A Burchett, ARNP
• Daniel Piziali Burdett, D.C.
• Rachelle Delorvil Bures-Lukacs
• Cheryl Ann Burke, PSY.D , LMHC
• Judith Burnett, PHD
• Diane H Burns, LCSW
• Debra Busacco
• Jill Hamilton Buss, LMHC

• Occupational Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.