Active NPI
Esperanza Burks, OTRL
- Pediatric Occupational Therapist
- Weston, FL
National Provider Identifier
1881080554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT16961
- Practice address
- 2833 Executive Park Dr Ste 300
Weston, FL 33331-3646 - Phone
- (954) 353-8777
- NPI assigned
- Apr 9, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT16961 | FL | Primary |
Addresses
Primary practice location
2833 Executive Park Dr Ste 300
Weston, FL 33331-3646
Mailing address
12684 NW 14TH PL
Sunrise, FL 33323-5124
Phone (786) 208-9195
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 |
|---|---|---|---|
| OT16961 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms. Courtney'S Therapy LLC | Past | Accepting new patients | |
| Ms. Courtney'S Therapy Services, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Weston, FL
- NPI 1104128065
-
- Pediatric Occupational Therapist
- Weston, FL
- NPI 1033444013
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1881080554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12684 NW 14TH PL",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333235124",
"telephone_number": "786-208-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2833 EXECUTIVE PARK DR STE 300",
"city": "WESTON",
"state": "FL",
"postal_code": "333313646",
"telephone_number": "954-353-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "ESPERANZA",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT16961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.