Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Matthew Burrous, OT

Individual provider Pediatric Occupational Therapist · NPI 1548854193

Jacob Matthew Burrous, OT is a Pediatric Occupational Therapist in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2850 Johnson Ferry Rd Ste 100
Marietta, GA 30062-5684
Phone: (770) 643-0868
Fax: (770) 643-0869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 007999 (GA)

Record details

NPI number1548854193
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address2850 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5684

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