Jennie Rose Burdette, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT012926 Issued in OH

Practice address

3025 Science Park Dr
Beachwood, OH 44122-7333

Phone

(216) 455-6400

NPI assigned

Jul 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1922844398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 CHEYENNE TRL APT 104",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441309097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SCIENCE PARK DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227333",
            "telephone_number": "216-455-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETTE",
        "first_name": "JENNIE",
        "middle_name": "ROSE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimmie Bui, MD
• Chloe Bukvich
• Tina W Bulucea, MSSA, LISW
• Sudhakar Babu Buma
• Erica Beth Burck, DNP, APRN, PMHNP
• Kaitlin Burg, APRN, FNP-C
• Celine Marie Burke, APN
• Andrea Stephenson Burland, PH.D.
• Burning River Physical Therapy and Wellness Co
• Alicia Marie Burns, PT

• Occupational Therapist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.