Katie Tessa Burnham

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001856 Issued in GA

Practice address

134 S 6TH St
Cochran, GA 31014-6626

Phone

(229) 318-9989

NPI assigned

Jun 15, 2020

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1982229092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LENNIE LN",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S 6TH ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146626",
            "telephone_number": "229-318-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "KATIE",
        "middle_name": "TESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Eden Brown, PHARMD
• Kevin T Brown, DO
• Bryant Health and Rehabilitation Center, Inc.
• Bryant Nursing Center
• Bryant Post Acute LLC
• Waymon M Cannon, PHARM
• Careconnect Health, Inc.
• Gwendolyn J Carr, NP
• Central Georgia Behavioral Management LLC
• Cochran Family Healthcare

• All providers in Cochran, GA
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.