Provider Demographics
NPI:1316146020
Name:BURGESS, AMANDA SAINE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SAINE
Last Name:BURGESS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 OBRIAN DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-3858
Mailing Address - Country:US
Mailing Address - Phone:828-352-3440
Mailing Address - Fax:828-465-7326
Practice Address - Street 1:1350 OBRIAN DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-3858
Practice Address - Country:US
Practice Address - Phone:828-352-3440
Practice Address - Fax:828-465-7326
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3127225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist