Brett Berg, PH.D., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2121 Issued in CO

Practice address

2350 Limon Dr # D12
Fort Collins, CO 80525-7622

Phone

(970) 204-4331

Fax

(970) 204-6712

NPI assigned

Sep 2, 2020

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Male

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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351
  Medicare reassignment NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1578177986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 CANYON CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505355",
            "telephone_number": "970-492-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 LIMON DR # D12",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257622",
            "telephone_number": "970-204-4331",
            "fax_number": "970-204-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "BRETT",
        "credential": "PH.D., OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Benz, MD
• Todd L Benz, PT
• Anna Danielle Benzel
• Doug Benzel, RN
• Katherine Berdell, P.A.-C
• Dana Beth Berg, M.S., CCC-SLP
• Emily Berg, LMFT, MS
• Karen J Berg, CRNA
• Emily Victoria Berganini, PA-C
• Mitziana Berger, M.A., CCC-SLP

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.