Active NPI
Kerrigan Bergeron, OTR/L
- Occupational Therapist
- Antrim, NH
National Provider Identifier
1003685140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3496
- Practice address
- 16 School St
Antrim, NH 03440-3607 - Phone
- (603) 588-6630
- NPI assigned
- Jan 1, 2024
- 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 | 3496 | NH | Primary |
Addresses
Primary practice location
16 School St
Antrim, NH 03440-3607
Mailing address
30 Emery Rd
Jaffrey, NH 03452-5200
Phone (603) 486-8184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3496 | Other | NH | STATE OF NEW HAMPSHIRE OFFICE OF LICENSED ALLIED HEALTH PROFESSIONALS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3496 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1003685140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 EMERY RD",
"city": "JAFFREY",
"state": "NH",
"postal_code": "034525200",
"telephone_number": "603-486-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SCHOOL ST",
"city": "ANTRIM",
"state": "NH",
"postal_code": "034403607",
"telephone_number": "603-588-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERON",
"first_name": "KERRIGAN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-01",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "3496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW HAMPSHIRE OFFICE OF LICENSED ALLIED HEALTH PROFESSIONALS",
"identifier": "3496",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Antrim, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.