Angela White Bernard, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-1748 Issued in AR

Practice address

8109 I 30
Little Rock, AR 72209-4840

Phone

(501) 246-1137

NPI assigned

Nov 4, 2010

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dba: Southern Charm Therapy Inc. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1629379730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 I 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094840",
            "telephone_number": "501-246-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 I 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094840",
            "telephone_number": "501-246-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "ANGELA",
        "middle_name": "WHITE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR-1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DBA: SOUTHERN CHARM",
            "last_name": "INC.",
            "middle_name": "THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sydney Bergt
• Jessica Letzig Berkow, M.S., CCC-SLP
• Ariel Berlinski, MD
• Masha Miriam Berman, PSY.D.
• Lilli Ann Bernabe, PT
• Cobie Bernard, LCSW
• Erika Lauren Bernard, M.A. BCBA
• Hannah Rachel Bernstein, MS, CCC-SLP
• Kellie L Berry-Hert, NURSE PRACTITIONER
• Adam Berry, D.O.

• Occupational Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.