Amanda Jean Burr, MS OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT18623 Issued in CA

Practice address

1764 Marco Polo Way
Burlingame, CA 94010-4503

Phone

(650) 259-8544

NPI assigned

Jul 9, 2019

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Abilitypath

  • Early Intervention Provider Agency
  • Redwood City, CA
  • NPI 1669637625
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1982256012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SAN CLEMENTE RD",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940194829",
            "telephone_number": "650-863-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 MARCO POLO WAY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104503",
            "telephone_number": "650-259-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT18623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burlingame Surgical Center Inc
• Burlingame Therapeutic Associatesii
• Burlingame Villa
• Burlingame-Pacifica Medical Group , Inc.
• Ashley Blair Burns, RN, IBCLC
• Warren E Bussard, R.PH.
• Angela Button, BCBA
• Cal Mobility
• Michael Calas
• Mark Calderbank, P.T.

• Pediatric Occupational Therapist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.