Pauline J. Berra, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4281-026 Issued in WI

Practice address

501 W Wisconsin St
Sparta, WI 54656-2332

Phone

(608) 269-0555

NPI assigned

Apr 20, 2007

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

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.

• Innovations Rehabilitation, SC

  • Occupational Therapist
  • Sparta, WI
  • NPI 1891842035
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1629295449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 17TH AVE S",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W WISCONSIN ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562332",
            "telephone_number": "608-269-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRA",
        "first_name": "PAULINE",
        "middle_name": "J.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4281-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40886900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Jean Baker
• Katarzyna Baluta, P.T.
• Rob N Bean, PT
• Dennis Austin Paul Bernau, PTA
• Megan Berner, RD
• Matthew William Besch
• Krysta Ann Bever, DPT
• Cassidy Jo Bishop, PT, DPT
• Black River Chiropractic Center SC
• Barbara J Blank, OTR

• All providers in Sparta, WI
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.