Laurel Jeanne Bertini, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA265 Issued in CA

Practice address

5930 Adobe Rd
Twentynine Palms, CA 92277

Phone

(760) 367-1743

NPI assigned

Dec 7, 2016

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.

• H.D.P.R.G., Inc

  • Speech-Language Pathologist
  • Twentynine Palms, CA
  • NPI 1295886067
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1114461381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56299 TWENTYNINE PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-369-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277",
            "telephone_number": "760-367-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTINI",
        "first_name": "LAUREL",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beehavioral Health Services LLC
• Benjamin Neal Bellavance
• Theodore Joseph Bemenderfer
• Nicole Benton-Hayden, MAOC, CSAC, CPS, CCS
• Cara Rose Berner, PA-C
• Best Care Guest Home 29 Palm
• Mary Best, LCSW
• Mary Ann Bett, RN
• David Robert Bird, MPAS, PA-C
• Joshua Eames Blackburn, PHARMD

• Occupational Therapy Assistant in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.