Gina Berg

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2021035617 Issued in MO

Practice address

450 N Lindbergh Blvd
Creve Coeur, MO 63141-7814

Phone

(314) 356-2098

NPI assigned

Dec 23, 2021

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1457011975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12819 HASBROOK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463705",
            "telephone_number": "314-216-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N LINDBERGH BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417814",
            "telephone_number": "314-356-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2021035617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bednar, PA-C
• Leslie Ann Beech, MA LCSW
• Behavioral Healthcare LLC
• Michele T Bellamy, MD
• Todd E Bellamy, O.D.
• Susan Berg, LPC
• Molly Bergamini
• Tahira Bhaiji, DMD
• Elizabeth Birdsell, OTR/L
• Birkenmeier Chiropractic Center LLC

• Occupational Therapist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.