Active NPI
Angela Berwick, O.T.
- Occupational Therapist
- Greenwood Village, CO
National Provider Identifier
1235460940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4817-26
- Practice address
- 8390 E Crescent Pkwy
Suite 120
Greenwood Village, CO 80111-2811 - Phone
- (262) 502-8689
- NPI assigned
- Jan 20, 2010
- Last updated
- Mar 22, 2013
- 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 | 4817-26 | WI | Primary |
Addresses
Primary practice location
8390 E Crescent Pkwy
Suite 120
Greenwood Village, CO 80111-2811
Mailing address
1940 N Prospect Ave
Apt. #31
Milwaukee, WI 53202-1493
Phone (920) 229-0728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4817-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Institute of Wisconsin, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Brookfield, WI
- NPI 1477750255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1235460940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 N PROSPECT AVE",
"address_2": "APT. #31",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021493",
"telephone_number": "920-229-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8390 E CRESCENT PKWY",
"address_2": "SUITE 120",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112811",
"telephone_number": "262-502-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERWICK",
"first_name": "ANGELA",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4817-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.