Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356084404 Individual Practitioner Male Practitioner

Clyde Edward Burroughs , OTR

Occupational Therapist • Miami Lakes, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Clyde Burroughs, OTR is a registered healthcare professional specializing in Occupational Therapist in Miami Lakes, FL. Official NPI practice address is registered at 15291 NW 60TH AVE STE 101.

Practice Location & Contact Primary Location

Practice Address

15291 Nw 60th Ave Ste 101

Miami Lakes, FL 330142459

Telephone 3057057702
Associated Practice Facility / Clinic
🏢 Kidspace Therapy Center Facility NPI 1154992501

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Miami Lakes, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
46 Specialists

Practicing in Miami Lakes, FL (8046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-17
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License FL 23071

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Florida Department Of Health
23071 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Tania Fertil Poli

Physical Therapy Assistant

NPI 1003683830
Chloe Shinsky

Physical Therapy Assistant

NPI 1114528759
Veronica Perez

Occupational Therapy Assistant

NPI 1164091914
Layra Gonzalez

Speech-Language Pathologist

NPI 1164174876
Ana Camacho

Specialist/Technologist - Speech-Language Assistant

NPI 1174493936
Nicole Maestri

Physical Therapist

NPI 1275148496

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 17, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2022

Registered at 15291 NW 60TH AVE STE 101, MIAMI LAKES, FL 330142459 (Tel: 3057057702)

📍
Updated Business Mailing Address April 17, 2022

Registered at 15291 NW 60TH AVE STE 101, MIAMI LAKES, FL 330142459 (Tel: 3057057702)

👤
Provider Name / Credentials Updated April 17, 2022

Recorded as CLYDE BURROUGHS, OTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2022

Occupational Therapist (License #23071 in FL)

🟢
Initial NPI Registration & Enumeration April 17, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356084404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2022
Last Update: April 17, 2022
Sole Proprietor: No

Mailing Address

15291 Nw 60th Ave Ste 101

Miami Lakes, FL 330142459

Phone: 3057057702

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.