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NPI Code Detail

MEDICARE: ALEXIS BURKE OTR

MEDICARE: ALEXIS BURKE OTR
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
1225X00000XOccupational Therapist0119011360VA
2225X00000XOccupational TherapistOT.OT.61422667WA
3225X00000XOccupational Therapist467427OR
4225X00000XOccupational Therapist218489AK

General Provider Information

NPI Number : 1841999463
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS BURKE OTR
Provider Business Mailing Address
First Line : 1500 E 128TH AVE
Second Line :
City : THORNTON
State : CO
Zip : 80241-2601
Country : US
Telephone Number : 720-972-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1062 W MERCURY BLVD STE B
Second Line :
City : HAMPTON
State : VA
Zip : 23666-1068
Country : US
Telephone Number : 757-644-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2023
Last Update Date : 04/09/2026

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