MRS. KATIE JO BURNHAM (OT, CHT) – Occupational Therapist, NPI 1992021133
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
500 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for MRS. KATIE JO BURNHAM (OT, CHT)
N15W28300 Golf Rd
Pewaukee, WI 530724800
Phone: (262) 303-5055
Fax: (262) 303-5057
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
7901 S 6TH ST
OAK CREEK, WI 531542010
Phone: (414) 346-8000
Type: Location
2500 W Layton Medical Building, 2500, West Layton Avenue, Wilson Park, Milwaukee, Milwaukee County, Wisconsin, 53221, United States
MILWAUKEE, WI 532215420
Phone: (414) 389-3023
Type: Mailing
Aurora Medical Center in Manitowoc County, 5000, Memorial Drive, Two Rivers, Manitowoc County, Wisconsin, 54241, United States
TWO RIVERS, WI 542413900
Phone: (920) 794-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121105000671 | I | Occupational Therapist In Private Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 61 | 15 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 21 | 11 | $0 |
Insurance plans in this area (ZIP 53072)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | WI | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 222 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Family Practice, Emergency Medicine | WI | |
| P S Y C H I A T R Y | WI | |
| Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI |
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