AMANDA BURRILL OT
NPI 1619279536
Occupational Therapist in St Louis Park, MN
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
Specialties & Licenses
Other Identifiers 1
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.
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.
SAINT 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.