Rehna Marie Bernhardt, OT

Individual provider Active NPI Occupational Therapist · Green Bay, WI

NPI 1114955853 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114955853
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
651-026 (WI)
Practice address
2020 S Webster Ave
Green Bay, WI 54301-2291
Phone
(920) 445-7222
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
651-026WIMDOccupational Therapist
651WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 651-026 WI Yes

Addresses

Primary practice location

2020 S Webster Ave
Green Bay, WI 54301-2291

Mailing address

2020 S Webster Ave
Green Bay, WI 54301-2291
Phone (920) 445-7222

Other identifiers

IdentifierTypeStateIssuer
651-026OtherWILICENSE

Other providers in Green Bay, WI

All providers in Green Bay, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.