OCTOBER LYNNELL BURRIS
NPI 1275480048
Prosthetic/Orthotic Supplier in Ada, OK

Active since March 11, 2026
19225 STATE HIGHWAY 1E, ADA, OK 74820(580) 399-9305 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About October Lynnell Burris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCTOBER LYNNELL BURRIS (NPI 1275480048) is an individual prosthetic/orthotic supplier provider in Ada, Oklahoma and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1275480048
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameOCTOBER LYNNELL BURRIS
Location Address19225 STATE HIGHWAY 1EAda, OK 74820-5347
Mailing Address4021 Debi StAda, OK 74820-4757 · (580) 399-9305
Sole ProprietorYes
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
NPI 1275480048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
19225 STATE HIGHWAY 1E, Ada, OK 74820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is October Burris's NPI number?

The NPI number for October Burris is 1275480048. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is October Burris located?

October Burris practices at 19225 State Highway 1E, Ada, OK 74820. The listed phone number is (580) 399-9305.

What is October Burris's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for October Burris was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.