Rebecca Berg, MA OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60038495 Issued in WA

Practice address

20310 19TH Ave NE
Shoreline, WA 98155-1261

Phone

(206) 367-5853

NPI assigned

Aug 22, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corvidae Therapy and Consultation, PLLC

  • Pediatric Occupational Therapist
  • Seattle, WA
  • NPI 1164215125
  NPD Authorized official
• Child & Family Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shoreline, WA
  • NPI 1689242968
  NPD (past)
• PT & OT of Washington, LLC

  • Clinic/Center
  • Shoreline, WA
  • NPI 1356415756
  NPD (past)

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1508013335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12647 2ND AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981682676",
            "telephone_number": "917-407-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20310 19TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551261",
            "telephone_number": "206-367-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "REBECCA",
        "credential": "MA OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60038495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Satchell Bell, O.D.
• Cheyann Benn
• Maureen Lee Bennett
• Vivian Marie Bennett, DDS
• Karen Ann Benson, PHD, MS, MN, ARNP
• Siem Tesfay Berhane
• Amen N Berhanu, RN
• Timothy Berman
• Sarah Wynelle Bernhards, FNP-C
• Laura L Berry, NCC, WASHINGTON LMHC

• Occupational Therapist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.