Individual provider Active NPI

Deborah L. Berman, OTR/L

  • Occupational Therapist
  • Suwanee, GA
National Provider Identifier
1851543375
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT000561 Issued in GA
Practice address
3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320
Phone
(770) 831-2313
Fax
(770) 831-2778
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

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.

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
OT000561GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Speech & Language Clinics, Inc. Occupational Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT000561 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320

Mailing address

3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320
Phone (770) 831-2313

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2008.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1851543375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE B-3",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242320",
            "telephone_number": "770-831-2313",
            "fax_number": "770-831-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE B-3",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242320",
            "telephone_number": "770-831-2313",
            "fax_number": "770-831-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "DEBORAH",
        "middle_name": "L.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT000561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.