Active NPI
Jenifer J Burrell, OTR/L
- Occupational Therapist
- Tucson, AZ
National Provider Identifier
1881216604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-006945
- Practice address
- 5151 E Broadway Blvd
Tucson, AZ 85711-3705 - Phone
- (480) 787-5387
- Fax
- (866) 701-4982
- NPI assigned
- May 14, 2020
- Last updated
- May 14, 2020
- 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 Therapist | 225X00000X | OTH-006945 | AZ | Primary |
Addresses
Primary practice location
5151 E Broadway Blvd
Tucson, AZ 85711-3705
Mailing address
4076 W Soledad PL
Tucson, AZ 85741-1307
Phone (520) 977-3698
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 |
|---|---|---|---|
| OTH-006945 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Tree, PLLC | Past | Accepting new patients | |
| Therapy Tree Group PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1881216604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 W SOLEDAD PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857411307",
"telephone_number": "520-977-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113705",
"telephone_number": "480-787-5387",
"fax_number": "866-701-4982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL",
"first_name": "JENIFER",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-006945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.