Individual provider Active NPI

Meyrav L Berger

  • Occupational Therapy Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1508439688
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
17737 Issued in FL
Practice address
120 NE 4TH St PH 1402
Fort Lauderdale, FL 33301-3584
Phone
(954) 579-3783
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 17737 FL Primary

Addresses

Primary practice location

120 NE 4TH St PH 1402
Fort Lauderdale, FL 33301-3584

Mailing address

120 NE 4TH St PH 1402
Fort Lauderdale, FL 33301-3584

Other identifiers 1

IdentifierTypeStateIssuer
17737OtherFLLICENSED NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL adriana.tilley@atservicestherapy.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17737FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1508439688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE 4TH ST PH 1402",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE 4TH ST PH 1402",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013584",
            "telephone_number": "954-579-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MEYRAV",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NUMBER",
            "identifier": "17737",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "adriana.tilley@atservicestherapy.org",
            "affiliation": "N",
            "address_1": "2020 NE 163rd St Ste 207",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331624927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.