Individual provider Active NPI

Allison Berndt

  • Occupational Therapy Assistant
  • Normal, IL
National Provider Identifier
1881277499
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0057005358 Issued in IL
Practice address
509 N Adelaide St
Normal, IL 61761-2422
Phone
(309) 452-7468
NPI assigned
May 2, 2021
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0057005358 IL Primary

Addresses

Primary practice location

509 N Adelaide St
Normal, IL 61761-2422

Mailing address

1203 Germania Dr Apt B
Ottawa, IL 61350-4285
Phone (217) 502-1193

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL allisonberndt1993@gmail.com
Other URL allisonberndt1993@gmail.com

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
0057005358ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1881277499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 GERMANIA DR APT B",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504285",
            "telephone_number": "217-502-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N ADELAIDE ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612422",
            "telephone_number": "309-452-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNDT",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "0057005358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allisonberndt1993@gmail.com",
            "affiliation": "N",
            "address_1": "1203 Germania Dr Apt B",
            "city": "Ottawa",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613504285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allisonberndt1993@gmail.com",
            "affiliation": "N",
            "address_1": "1203 Germania Dr Apt B",
            "city": "Ottawa",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613504285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.