Andrea C Bergman, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2624 Issued in AL

Practice address

193 Sam Lisenby Rd
Ozark, AL 36360-3048

Phone

(334) 445-6336

Fax

(334) 445-6363

NPI assigned

May 15, 2008

Last updated

Apr 27, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833
  Medicare reassignment Care Compare group NPD
• Physioworks Silverdale PLLC

  dba PhysioWorks

  • Rehabilitation Clinic/Center
  • Silverdale, WA
  • NPI 1952986184
  Medicare reassignment NPD
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Occupational Therapist

  NPD
• Sumlar Therapy Service, Inc.

  • Physical Therapist
  • Ozark, AL
  • NPI 1265574990

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1578730768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 SAM LISENBY RD",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603048",
            "telephone_number": "334-445-6336",
            "fax_number": "334-445-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 SAM LISENBY RD",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603048",
            "telephone_number": "334-445-6336",
            "fax_number": "334-445-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102420",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon of Hope
• Kari Renee Behrens, OTR/L
• Emily Ann Bell
• Zara Kaitlin Benefield
• Hope Bentley, OT
• Ashton A Bergman, CFY-SLP
• Sehoy Bey
• Natasha Blackmon, LMT
• Mikelyn Bolden, SPEECH LANUAGE PATHO
• Shaletta Borders

• Occupational Therapist in Ozark, AL
• Providers in Ozark, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.