Active NPI
Christine Berwanger
- Occupational Therapist
- Annapolis, MD
National Provider Identifier
1801177928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07255
- Practice address
- 1 George and Marion Phelps LN
Annapolis, MD 21401-4111 - Phone
- (800) 354-7342
- NPI assigned
- Sep 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OC011347 | PA | |
| Occupational Therapist | 225X00000X | 07255 | MD | Primary |
Addresses
Primary practice location
1 George and Marion Phelps LN
Annapolis, MD 21401-4111
Mailing address
1691 Camden CT
Arnold, MD 21012-2547
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07255 | MD | MD | Occupational Therapist |
| OC011347 | PA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1801177928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 CAMDEN CT",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GEORGE AND MARION PHELPS LN",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014111",
"telephone_number": "800-354-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERWANGER",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "PA",
"license": "OC011347",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.