Active NPIIndividual providerSole proprietor

Mrs. Amy Burgess, OTR/L

Occupational Therapist in Wanaque, New Jersey

NPI Number1972855377
Practice location
37 Mountain Lakes Dr, Wanaque, NJ 07465-1016
Fax
—
Last updated
October 9, 2012

Amy Burgess is an Occupational Therapist based in Wanaque, NJ. Amy Burgess practices in Wanaque, NJ and has the professional credentials of OTR/L. The NPI Number for Amy Burgess is 1972855377 and holds a License No. 46TR00167800 (NJ). The current practice location address for Amy Burgess is 37 Mountain Lakes Dr, Wanaque, NJ 07465-1016 and can be reached out via phone at 201-953-2443.

Provider Profile Details

NPI Number
1972855377
Provider Name
Amy Burgess
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
37 Mountain Lakes Dr, Wanaque, NJ 07465-1016
Phone Number
201-953-2443
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Other Names
-- Amy Roller, OTR/L (Former Name)
Provider Enumeration Date
October 9, 2012
Last Update Date
October 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 Mountain Lakes Dr
Wanaque, NJ 07465-1016
Zip
07465-1016
Phone Number
201-953-2443
Wanaque, NJ 07465Get directions →

Provider Business Mailing Address Details

Address
37 Mountain Lakes Dr
Wanaque, NJ 07465-1016
City
Wanaque
State
NJ
Zip
07465-1016
Phone Number
973-835-2331

License Information

License Number
46TR00167800
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Amy Burgess, OTR/L?

The NPI number of Mrs. Amy Burgess, OTR/L is 1972855377. It was assigned on October 9, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amy Burgess, OTR/L?

Mrs. Amy Burgess, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00167800.

Where does Mrs. Amy Burgess, OTR/L practice?

The practice location is 37 Mountain Lakes Dr, Wanaque, NJ 07465-1016. The office can be reached at 201-953-2443 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972855377 directly on the NPPES registry website.

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