Active NPI
Michael William Bernard, OTR/L
- Occupational Therapist
- Webster, NY
National Provider Identifier
1992471684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024815-01
- Practice address
- 695 Bay Rd
Webster, NY 14580-4091 - Phone
- (585) 787-8000
- NPI assigned
- Aug 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 024815-01 | NY | Primary |
Addresses
Primary practice location
695 Bay Rd
Webster, NY 14580-4091
Mailing address
70 Oxford St
Rochester, NY 14607-1589
Phone (585) 694-4377
Other practice location 1
1183 Monroe Ave
Rochester, NY 14620-1662
Phone (585) 256-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221030000036 | FL | Practitioner - Occupational Therapist in Private Practice | 0143697466 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024815-01 | NY | MD | Occupational Therapist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629504000000",
"number": "1992471684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 OXFORD ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071589",
"telephone_number": "585-694-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 BAY RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145804091",
"telephone_number": "585-787-8000"
}
],
"practiceLocations": [
{
"address_1": "1183 Monroe Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146201662",
"country_code": "US",
"telephone_number": "585-256-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNARD",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-21",
"last_updated": "2021-08-21",
"certification_date": "2021-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024815-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.