Individual provider Active NPI

Rachel Berry

  • Occupational Therapist
  • Warner Robins, GA
National Provider Identifier
1710504337
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007749 Issued in GA
Practice address
905 Arrowhead TRL
Warner Robins, GA 31088-5390
Phone
(478) 333-6363
Fax
(478) 333-6076
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT007749 GA Primary

Addresses

Primary practice location

905 Arrowhead TRL
Warner Robins, GA 31088-5390

Mailing address

905 Arrowhead TRL
Warner Robins, GA 31088-5390
Phone (478) 333-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT007749GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senseabilities, Inc. CurrentSince May 26, 2024 Accepting new patients

Locations

905 Arrowhead Trl
Warner Robins, GA 31088
Phone (478) 333-6363

Organizations & group practices 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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1710504337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ARROWHEAD TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885390",
            "telephone_number": "478-333-6363",
            "fax_number": "478-333-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ARROWHEAD TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885390",
            "telephone_number": "478-333-6363",
            "fax_number": "478-333-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.