Kelsey Lynn Burchard, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027009 Issued in NY

Practice address

35 Longwood Rd
Middle Island, NY 11953-2045

Phone

(631) 924-0008

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

No

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1972230092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRANBY PL",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794930",
            "telephone_number": "631-487-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LONGWOOD RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532045",
            "telephone_number": "631-924-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1737 Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117491529",
            "country_code": "US",
            "telephone_number": "631-382-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHARD",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Brown
• Jessica A. Brown, MS
• Dana Marie Bruer, PRACTICAL NURSE
• Sherri Tara Brunner, MSPT
• Sara Buckley, LPN
• Carissa Cecily Burgard
• Brittany Burke
• Kim Burke, RN
• Melissa Buscetta, RD
• Cassandra Busche, M.A., CCC-SLP

• Occupational Therapist in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.