Eric Berger

Individual provider Active NPI Occupational Therapy Assistant · Beaver Dam, WI

NPI 1083549554 · NPPES record last updated Jun 16, 2026

Key facts

NPI
1083549554
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
7277-27 (WI)
Practice address
825 North St
Beaver Dam, WI 53916-1453
Phone
(920) 210-2588
NPI assigned
Jun 16, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7277-27 WI Yes

Addresses

Primary practice location

825 North St
Beaver Dam, WI 53916-1453

Mailing address

825 North St
Beaver Dam, WI 53916-1453

Other providers in Beaver Dam, WI

All providers in Beaver Dam, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.