Bridget Mary Hormberg, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2014027319 Issued in MO

Practice address

567 N and South Rd Apt C
Saint Louis, MO 63130-3939

Phone

(314) 650-9288

NPI assigned

Oct 15, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Stars Therapy, LLC

  • Early Intervention Provider Agency
  • Saint Louis, MO
  • NPI 1194258467
  NPD Authorized official
• Blue Stars Therapy, LLC

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1265917025

  Pediatrics

  NPD Authorized official
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hazelwood, MO
  • NPI 1669658910
  NPD (past)
• St. Louis Arc Inc

  dba St Louis Arc

  • Speech-Language Pathologist
  • Saint Louis, MO
  • NPI 1215076898

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1063816320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 N AND SOUTH RD APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303939",
            "telephone_number": "314-650-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N AND SOUTH RD APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303939",
            "telephone_number": "314-650-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 N. Warson Rd",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "63132",
            "country_code": "US",
            "telephone_number": "314-569-2211",
            "fax_number": "314-569-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORMBERG",
        "first_name": "BRIDGET",
        "middle_name": "MARY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2014027319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William Horan, M.D
• J Joseph Horan, MD
• Amjad Horani, MD
• Jeanine Mary Horgan
• Horizon Therapy and Assessment Services
• Barbra A Horn, M.D.
• Millicent Leigh Horn, MD
• Miranda Nichole Horn, LMSW
• Sarah F Horn, M.D.
• Linda G Hornbeck, ANP

• Pediatric Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.