Active NPI
Nykeia Burris, MOT, OTR/L
- Occupational Therapist
- Fayetteville, NC
National Provider Identifier
1932706561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13288
- Practice address
- 231 Treetop Dr
Fayetteville, NC 28311-0606 - Phone
- (910) 488-4821
- NPI assigned
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 13288 | NC | Primary |
Addresses
Primary practice location
231 Treetop Dr
Fayetteville, NC 28311-0606
Mailing address
5816 Wilora Lake Rd
Charlotte, NC 28212-8491
Phone (704) 491-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1920 W Potomac Ave
Chicago, IL 60622-3149
555 S Mangum St
Durham, NC 27701-4688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13288 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reinvent Health Inc | Single Specialty | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1932706561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5816 WILORA LAKE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282128491",
"telephone_number": "704-491-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 TREETOP DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283110606",
"telephone_number": "910-488-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "NYKEIA",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.