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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 codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics9781724IDYes

Practice location

2550 Addison Ave E Ste D
Twin Falls, ID 83301-6748

Phone 208-814-8000

Mailing address

2550 Addison Ave E Ste D
Twin 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.

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