Jaxson Jeffrey Burgemeister, OTR
Occupational Therapist, Pediatrics in Twin Falls, ID. Individual provider (NPI-1).
NPI number1265348403
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1265348403
- Entity type
- Individual (NPI-1)
- Name
- Jaxson Jeffrey Burgemeister
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2026
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 9781724 | ID | Yes |
Practice location
2550 Addison Ave E Ste DTwin Falls, ID 83301-6748
Phone 208-814-8000
Mailing address
2550 Addison Ave E Ste DTwin Falls, ID 83301-6748
Phone 208-814-8000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Occupational Therapist providers in Twin Falls, ID
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.