Jennifer Marie Berg

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202007288 Issued in MI

Practice address

9821 County Road L
Delta, OH 43515-9773

Phone

(419) 266-2943

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1851894398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 COUNTY ROAD L",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159773",
            "telephone_number": "419-266-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 COUNTY ROAD L",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159773",
            "telephone_number": "419-266-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUAPTIONAL THERAPY ASSISTANT",
            "identifier": "5202007288",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Approved Home Health
• Jennifer Baker
• Elizabeth Anne Barga
• Nicholas Tanner Barnes, D.O.
• David Myles Bechtel, O.D. M.P.H. M.B.A.
• Deborah A Beroske
• Aaron Betz, PA-C
• Jacob Beverly
• Charlene F Blankenship, RN
• Karen L Bolander, RPH

• Occupational Therapy Assistant in Delta, OH
• Providers in Delta, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.