Carla Renee Berscheit, OT
Individual provider Active NPI Occupational Therapist · Green Bay, WI
NPI 1366427452 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366427452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3507-026 (WI)
- Practice address
- 1630 Commanche Ave
Green Bay, WI 54313-5753 - Phone
- (920) 430-4560
- NPI assigned
- Dec 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3507 | WI | MD | General Practice Dentistry |
| 3507-026 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3507-026 | WI | Yes |
Addresses
Primary practice location
1630 Commanche Ave
Green Bay, WI 54313-5753
Mailing address
1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 430-4560
Other providers in Green Bay, WI
- Peter Bernardy
- Louise A Berndt
- Nicole Berndt
- Rehna Marie Bernhardt
- Ryan Michael Berns
- Mark W Bertagnoli
- Danielle Bertrand
- Mitchell Bertrand
- Ursula Bertrand
- Adam J Bertuli
All providers in Green Bay, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.