Active NPI
Lorraine Berta
- Occupational Therapist
- Ann Arbor, MI
National Provider Identifier
1003394008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201001202
- Practice address
- 1200 Earhart Rd
Ann Arbor, MI 48105-2768 - Phone
- (734) 929-6883
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001202 | MI | Primary |
Addresses
Primary practice location
1200 Earhart Rd
Ann Arbor, MI 48105-2768
Mailing address
9050 Riverside Dr
Brighton, MI 48116-8238
Phone (810) 231-6604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1003394008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9050 RIVERSIDE DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168238",
"telephone_number": "810-231-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EARHART RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052768",
"telephone_number": "734-929-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTA",
"first_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201001202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.