Individual provider Active NPI

Lori Ann Bernardi, OTR/L

  • Occupational Therapist
  • Longmeadow, MA
National Provider Identifier
1730415704
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13084 Issued in MA
Practice address
40 Roseland Ter
Longmeadow, MA 01106-1128
Phone
(413) 297-4884
NPI assigned
Oct 27, 2009
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Occupational Therapy Assistant 224Z00000X 2871 MA
Occupational Therapist 225X00000X 13084 MA Primary

Addresses

Primary practice location

40 Roseland Ter
Longmeadow, MA 01106-1128

Mailing address

40 Roseland Ter
Longmeadow, MA 01106-1128
Phone (413) 297-4884

Other practice location 1

995 Day Hill Rd
Windsor, CT 06095-1722
Phone (860) 731-5522

Other practice location 2

486 Worcester St
Southbridge, MA 01550-1386
Phone (413) 747-0705

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
2871MAMDOccupational Therapy Assistant
13084MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Donovan Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1730415704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROSELAND TER",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061128",
            "telephone_number": "413-297-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROSELAND TER",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061128",
            "telephone_number": "413-297-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Day Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060951722",
            "country_code": "US",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "486 Worcester St",
            "address_purpose": "LOCATION",
            "city": "Southbridge",
            "state": "MA",
            "postal_code": "015501386",
            "country_code": "US",
            "telephone_number": "413-747-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "2871",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.