Michelle P Berry, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31000293A Issued in IN

Practice address

6205 Constitution Dr
Fort Wayne, IN 46804-1517

Phone

(260) 385-2130

Fax

(260) 818-2044

NPI assigned

Oct 11, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Strategies LLC

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1124381041

  Single Specialty

  NPD (past) Authorized official
• Functional Oral Motor and Feeding Concepts LLC

  • Speech-Language Pathologist
  • Fort Wayne, IN
  • NPI 1952665416

  Single Specialty

  NPD (past)
• Hand in Hand Comprehensive Therapy Specialists Inc

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1942465679
  NPD (past)
• Hand in Hand Therapy Specialists

  • Speech-Language Pathologist
  • Fort Wayne, IN
  • NPI 1487713269

  Specialist

  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942498266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041517",
            "telephone_number": "260-385-2130",
            "fax_number": "260-818-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041517",
            "telephone_number": "260-385-2130",
            "fax_number": "260-818-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2837 E DuPont Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251668",
            "country_code": "US",
            "telephone_number": "260-497-0328",
            "fax_number": "260-497-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2837 E DuPont Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251668",
            "country_code": "US",
            "telephone_number": "260-497-0328",
            "fax_number": "260-497-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MICHELLE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "31000293A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000293A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200628720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Berning
• Kevin L Berning, MD
• Addison Berry
• Carrie Christine Berry, CRNA
• Cheyenne Berry
• Allison Ann-Elizabeth Berryman, PHARMD, RPH
• Kimberly Bertl
• Bertsch Family Dentistry LLC (Salkeld Family Dental)
• Jenna Bertsch
• John Douglas Bertsch, OD

• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.