Individual provider Active NPI

Julie S. Burris, OTR/L,CLT

  • Occupational Therapist
  • Pinehurst, NC
National Provider Identifier
1891879102
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3804 Issued in NC
Practice address
5 Dowd Cir
Suite a
Pinehurst, NC 28374-7932
Phone
(910) 295-2609
Fax
(910) 295-0026
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3804 NC Primary

Addresses

Primary practice location

5 Dowd Cir
Suite a
Pinehurst, NC 28374-7932

Mailing address

PO Box 4177
Pinehurst, NC 28374-4177
Phone (910) 295-2609

Other identifiers 2

IdentifierTypeStateIssuer
143C9OtherNCBCBS
7411996MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106001858 NC Practitioner - Occupational Therapist in Private Practice 5698188944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

315 Park Ridge Rd
Albemarle, NC 28001-2818
Phone (336) 916-7226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3804NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Occupational Therapist CurrentSince Jan 21, 2026 Accepting new patients
Speech Connections, LLC Past Accepting new patients
Speech Connections, LLC Occupational Therapist Past Accepting new patients

Locations

315 Park Ridge Rd
Albemarle, NC 28001
Phone (704) 982-8205

1 Pond St
Arden, NC 28704
Phone 82877452220027

915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1891879102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4177",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744177",
            "telephone_number": "910-295-2609",
            "fax_number": "910-295-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOWD CIR",
            "address_2": "SUITE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747932",
            "telephone_number": "910-295-2609",
            "fax_number": "910-295-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "JULIE",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "OTR/L,CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "143C9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411996",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.