Marsha Moore Bertasi, OTR/L
Individual provider Active NPI Hand Occupational Therapist · Jacksonville, AR
NPI 1508414152 · NPPES record last updated Aug 27, 2019
Key facts
- NPI
- 1508414152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hand Occupational Therapist 225XH1200X
- License
- OTR1607 (AR)
- Practice address
- 1300 Braden St
Jacksonville, AR 72076-3719 - Phone
- (501) 241-1000
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| OTR1607 | AR | MD | Hand Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OTR1607 | AR | Yes |
Addresses
Primary practice location
1300 Braden St
Jacksonville, AR 72076-3719
Mailing address
19 Plantation Acres Dr
Little Rock, AR 72210-3626
Phone (501) 590-4259
Other providers in Jacksonville, AR
- Blake W Bennett
- Jennifer Kaye Berg
- Katelyn Marie Berg
- Joanna L. Berry
- Ken Berry
- Big Chief Transport Service, LLC
- Audrey Birge
- Abi Rachel Bishop-Taylor
- Cynthia Dale Blohm
- Blossom on Purpose Therapy & Consulting, LLC
All providers in Jacksonville, AR · Hand Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2019. 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.