Active NPI
Juanita Marie Bergmann, COTA/L
- General Acute Care Hospital
- Tampa, FL
National Provider Identifier
1912236357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- OTA7548
- Practice address
- 4555 S. Manhattan Ave.
Tampa, FL 33601 - Phone
- (813) 839-6341
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | OTA7548 | FL | Primary |
Addresses
Primary practice location
4555 S. Manhattan Ave.
Tampa, FL 33601
Mailing address
1840 Bay Pines Circle
Gulf Breeze, FL 32563
Phone (850) 910-3963
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 |
|---|---|---|---|
| OTA7548 | FL | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1912236357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 BAY PINES CIRCLE",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "32563",
"telephone_number": "850-910-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 S. MANHATTAN AVE.",
"city": "TAMPA",
"state": "FL",
"postal_code": "33601",
"telephone_number": "813-839-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMANN",
"first_name": "JUANITA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "FL",
"license": "OTA7548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.