Active NPI
Kayla Beth Burton, OTR/L
- Occupational Therapist
- Green Bay, WI
National Provider Identifier
1891277299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6209-26
- Practice address
- 1040 Pilgrim Way
Green Bay, WI 54304-5028 - Phone
- (920) 499-1481
- NPI assigned
- Aug 31, 2018
- 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 | 6209-26 | WI | Primary |
Addresses
Primary practice location
1040 Pilgrim Way
Green Bay, WI 54304-5028
Mailing address
1040 Pilgrim Way
Green Bay, WI 54304-5028
Other practice location 1
1040 Pilgrim Way
Green Bay, WI 54304-5028
Phone (920) 499-1481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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 |
|---|---|---|---|
| 6209-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1891277299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 PILGRIM WAY",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 PILGRIM WAY",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045028",
"telephone_number": "920-499-1481"
}
],
"practiceLocations": [
{
"address_1": "1040 Pilgrim Way",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543045028",
"country_code": "US",
"telephone_number": "920-499-1481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTON",
"first_name": "KAYLA",
"middle_name": "BETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6209-26",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.