# AXXIS WELLNESS AT HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972315562
- **Authorized official:** TAJHMA BURROUGHS OTR/L (OWNER, OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (475) 434-1672

## Contact information

- **Practice address:** 17 HAZEL TER, WOODBRIDGE, CT 06525-2209
- **Practice address phone:** (475) 434-1672
- **Practice address fax:** (877) 530-0745
- **Mailing address:** PO BOX 4450, HAMDEN, CT 06514-0450
- **Mailing address phone:** (475) 434-1672
- **Mailing address fax:** (877) 530-0745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XE0001X | Environmental Modification Occupational Therapist | — | NULL | — |
| 225XE0001X | Environmental Modification Occupational Therapist | — | — | — |
| 225XG0600X | Gerontology Occupational Therapist | — | NULL | — |
| 225XG0600X | Gerontology Occupational Therapist | — | — | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 01/22/2025
- **Last updated:** 08/26/2025