Jodi Bergeron

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00440 Issued in RI

Practice address

195 Collyer St
Providence, RI 02904-1869

Phone

(401) 793-4083

NPI assigned

Dec 19, 2006

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

Enrolled in RI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pappas Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Johnston, RI
  • NPI 1851862692

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Pappas Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • North Kingstown, RI
  • NPI 1174246672
  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124181292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ROCCO DR",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015041373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-793-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "JODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT00440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric E. Berger, MD
• Jacob Berger, M.D.
• Judith Michelle Berger, LICSW
• Karlo Berger, LCMT
• Meredith Bergeron Piti, LMHC
• Megan Bergeron
• Paul R Bergeron, RPH
• Rebecca Ann Bergeron, LICSW
• Tracy Bergeron, RD, LDN
• Arnaldo A Berges, MD

• Occupational Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Occupational Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.