Active NPI
Amber Berg, O.T.R./L.
- Occupational Therapist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102903
- Practice address
- 1000 E 1St St
Suite 404
Duluth, MN 55805-2297 - Phone
- (218) 625-1884
- Fax
- (218) 722-6515
- NPI assigned
- Sep 16, 2006
- Last updated
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102903 | MN | Primary |
Addresses
Primary practice location
1000 E 1St St
Suite 404
Duluth, MN 55805-2297
Mailing address
1000 E 1St St
Suite 404
Duluth, MN 55805-2297
Phone (218) 625-1884
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 941498300 | Medicaid | MN | |
| 106G2BE | Other | MN | BCBS MN INDIVIDUAL |
| 6404781 | Other | MN | MN MEDICA INDIVIDUAL |
| 40882400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E 1St St
Suite 404
Duluth, MN 55805-2297
Phone (218) 722-5513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of Duluth, P.a. | Current | Accepting new patients | |
| Northern Arm & Hand Center, Inc. | Occupational Therapist | Past | Accepting new patients |
| Northern Arm & Hand Center, Inc. | Past | Accepting new patients |
Locations
1000 E 1st St
Ste 400
Duluth, MN 55805
Phone (218) 625-2728
1000 E 1st St
Ste 404
Duluth, MN 55805
Phone (218) 722-5513
1420 London Rd
Ste 102
Duluth, MN 55805
Phone (218) 728-3774
4310 Menard Dr
Ste 400
Hermantown, MN 55811
Phone (218) 625-2727
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orthopaedic Associates of Duluth, P.A.
- Specialist
- Duluth, MN
- NPI 1225033715
-
dba Turning Point Therapy
- Hand Physical Therapist
- Duluth, MN
- NPI 1639274137
Occupational Therapist
-
dba Turning Point Therapy
- Prosthetic/Orthotic Supplier
- Duluth, MN
- NPI 1740311067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1194821157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E 1ST ST",
"address_2": "SUITE 404",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-625-1884",
"fax_number": "218-722-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 1ST ST",
"address_2": "SUITE 404",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-625-1884",
"fax_number": "218-722-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "AMBER",
"credential": "O.T.R./L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "941498300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN INDIVIDUAL",
"identifier": "106G2BE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN MEDICA INDIVIDUAL",
"identifier": "6404781",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40882400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.