AMANDA BURRILL OT
NPI 1619279536
Occupational Therapist in St Louis Park, MN

Active since November 29, 2010
3525 MONTEREY DR, ST LOUIS PARK, MN 55416(952) 993-3044 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Burrill Ot NPPES

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

AMANDA BURRILL OT (NPI 1619279536) is an individual occupational therapist in St Louis Park, Minnesota, licensed in Minnesota (103930) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1619279536
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameAMANDA BURRILLCredential: OT
Location Address3525 MONTEREY DRSt Louis Park, MN 55416-5275
Mailing Address3525 Monterey DrSt Louis Park, MN 55416-5275 · (952) 993-3044
Sole ProprietorNo
Enumeration DateNovember 29, 2010
Last NPPES UpdateMarch 30, 2016
✔ NPI 1619279536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MN · 103930
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3525 MONTEREY DR, St Louis Park, MN 55416

Other Identifiers 1

Medicare PIN670000740MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Burrill Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amanda Burrill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
9000 GOLDEN VALLEY RD
Golden Valley, MN 55427
  • Reassigned Medicare billing, Minnesota enrollment
  • 75 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Psychiatry)
3525 MONTEREY DR
SAINT LOUIS PARK, MN 55416
Psychologist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416

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 Amanda Burrill's NPI number?

The NPI number for Amanda Burrill is 1619279536. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Amanda Burrill located?

Amanda Burrill practices at 3525 Monterey Dr, St Louis Park, MN 55416. The listed phone number is (952) 993-3044.

What is Amanda Burrill's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Amanda Burrill enrolled in Medicare?

Yes. Amanda Burrill is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Burrill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Burrill reassigns Medicare benefits to Aegis Group Practice LLC (Golden Valley, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Burrill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Burrill was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.