Scott A Berube, OT
Individual provider Active NPI Occupational Therapist · Prince Frederick, MD
NPI 1740380765 · NPPES record last updated Jan 16, 2024
Key facts
- NPI
- 1740380765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029 - Phone
- (410) 535-8180
- Fax
- (410) 535-8325
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- University of New England, College of Osteo Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calverthealth Medical Center Inc
Practice addresses (Care Compare)
14090 HG Trueman Rd
Suite 1500
Solomons, MD 20688-3151
Phone (410) 394-2838
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040115001180 | MD | Practitioner - Occupational Therapist in Private Practice | 9234033861 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03924 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calverthealth Medical Center, Inc. | Occupational Therapist | Current |
Accepting new patients |
| Calverthealth Medical Center, Inc. | Occupational Therapist | Current | Accepting new patients |
| Calverthealth Medical Center, Inc. | Occupational Therapist | Current |
Accepting new patients |
| Tristate Hand and Occupational Therapy Inc | Occupational Therapist | Past | Accepting new patients |
| Calverthealth Medical Center, Inc. | Past | Accepting new patients |
Locations
10845 Town Center Blvd
Ste 100
Dunkirk, MD 20754
Phone (410) 257-5263
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
130 Hospital Rd
Ste 103
Prnc Frederck, MD 20678
Phone (410) 535-8180
14090 Hg Trueman Rd
Ste 1500
Solomons, MD 20688
Phone (410) 394-2838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 03924 | MD | |
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029
Mailing address
130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029
Phone (410) 535-8180
Other providers in Prince Frederick, MD
- Jestina O Benson
- Eric Berg
- Meghan Leisl Bernier
- Patricia Berry
- Christine Marie Berube
- Charlotte Betteridge
- Jennifer Bevard
- Bhargesh P. Mehta, M.D., P.a.
- Ervind Sriram Bhogte
- Bisa Wellness Center LLC
All providers in Prince Frederick, MD · Occupational Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.