Individual provider Active NPI

Scott A Berube, OT

  • Occupational Therapist
  • Prince Frederick, MD
National Provider Identifier
1740380765
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 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
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 03924 MD
Occupational Therapist 225X00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115001180 MD Practitioner - Occupational Therapist in Private Practice 9234033861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 2668370065, 18 clinicians

Practice addresses (Care Compare)

14090 HG Trueman Rd
Suite 1500
Solomons, MD 20688-3151
Phone (410) 394-2838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Center, Inc. Occupational Therapist Current Accepting new patients
Calverthealth Medical Center, Inc. Occupational Therapist CurrentSince Jul 1, 2016 Accepting new patients
Calverthealth Medical Center, Inc. Occupational Therapist CurrentSince Jul 1, 2016 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

Organizations & group practices 5

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1740380765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-535-8180",
            "fax_number": "410-535-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-535-8180",
            "fax_number": "410-535-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "03924",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.