Active NPI
Brenda Lynne Berger, OTR
- Occupational Therapist
- Owensville, MO
National Provider Identifier
1780804591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004571
- Practice address
- 1016 W Highway 28
Owensville, MO 65066-1677 - Phone
- (636) 274-0879
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004571 | MO | Primary |
Addresses
Primary practice location
1016 W Highway 28
Owensville, MO 65066-1677
Mailing address
9720 Freunds Way
Cedar Hill, MO 63016-4117
Phone (636) 274-0879
Other names 1
- Brenda Lynne Borror
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
Locations
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780804591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 FREUNDS WAY",
"city": "CEDAR HILL",
"state": "MO",
"postal_code": "630164117",
"telephone_number": "636-274-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 W HIGHWAY 28",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650661677",
"telephone_number": "636-274-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "BRENDA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "BORROR",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Owensville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.