Sharon Lynn Bertrand, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6499 Issued in CA

Practice address

209 Kennedy Dr
Mount Shasta, CA 96067-2019

Phone

(707) 235-1107

Fax

(707) 754-2565

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By 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

Other identifiers 1

Other names 1

• Mrs. Sharon L. Bertrand Professional name

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1497317671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 KENNEDY DR",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672019",
            "telephone_number": "707-235-1107",
            "fax_number": "707-754-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 KENNEDY DR",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672019",
            "telephone_number": "707-235-1107",
            "fax_number": "707-754-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OT0064990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BERTRAND",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Craig Balletta
• Dustin Bartholomay
• Vicki Bedford
• Behavioranalystsupervisor
• Jill A Bekaert, MFT
• Sheryl Lynne Betz-Muncy, ASSOCIATE MARRIAGE F
• Amy Bice
• Kallie Biskner
• Joshua Aaron Blackwell, MD, MSPH
• Blair Rhodes MFT

• Occupational Therapist in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.