MEDICARE: JOEL BURNS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	4116	NC

General Provider Information

NPI Number	:	1700044351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL BURNS OTR/L

Provider Business Mailing Address
First Line	:	343 FOREST GLEN LN
Second Line	:
City	:	WILKESBORO
State	:	NC
Zip	:	28697-7000
Country	:	US
Telephone Number	:	336-818-2700
Fax Number	:	336-450-1700

Provider Business Practice Location Address
First Line	:	200 W PARK CIR STE A
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3583
Country	:	US
Telephone Number	:	336-818-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	04/07/2026

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