Alicia Kerri Forsberg, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.3357 Issued in SC

Practice address

2230 Ashley Crossing Dr
Charleston, SC 29414-5700

Phone

(843) 766-5228

NPI assigned

Oct 4, 2016

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 names 1

• Kerri Forsberg Professional 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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1689124596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 DEXTER LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128660",
            "telephone_number": "843-343-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 ASHLEY CROSSING DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145700",
            "telephone_number": "843-766-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSBERG",
        "first_name": "ALICIA",
        "middle_name": "KERRI",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "OTA.3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "FORSBERG",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Forney
• John Joseph Forney, M.D.
• Amanda Forrest, PHARMD
• Brent Hudgens Forrest
• Shawntay Latrice Forrest, L.P.N
• Erin Marie Forster, M.D.
• Danny Forsythe, MD
• Christopher Fortier, PHARMD
• Erin Fortier, PHARMD
• Morgan Fortune

• Occupational Therapy Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.