ANDREA C BERGMAN (NPI# 1578730768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578730768 |
| Entity Type | Individual |
| Full Name | ANDREA C BERGMAN |
| Credential | OTR/L |
| Practice Address |
193 Sam Lisenby Rd Ozark AL 36360-3048 |
| Practice Telephone | 3344456336 |
| Practice Fax Number | 3344456363 |
| Mailing Telephone | 3344456336 |
| Mailing Fax Number | 3344456363 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2009-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2624 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 102420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1184864357 | Andrea Jill Bergman | Psychologist | 15211 Union Tpke., Center for Psychological Services, Flushing, NY 11367 | 2009-03-02 |
| Street Address |
193 SAM LISENBY RD |
| City | OZARK |
| State | AL |
| Zip Code | 36360-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801993365 | Tara S Fowler | Speech-Language Pathologist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2006-09-19 |
| 1336752765 | Ashley Morgan Demers | Physical Medicine & Rehabilitation | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2020-08-25 |
| 1437768942 | Susannah Watson Sims | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2020-07-30 |
| 1639790645 | Sarah Lynn Joy Kowalczyk | Speech-Language Pathologist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2020-04-30 |
| 1538792601 | Amanda Williams | Speech-Language Pathologist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2020-02-18 |
| 1003451865 | Morgan Lynn Walker | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2019-11-15 |
| 1023573516 | Emily Glover | Physical Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2019-02-08 |
| 1912479775 | Hope Bentley | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2018-12-18 |
| 1326517913 | Shannon Winslow | Physical Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2018-11-13 |
| 1730665324 | Kirby Cosco | Speech-Language Pathologist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2018-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
| 1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
| 1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
| 1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
| Find all providers in zip 36360 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573858 | Vickie K Hartness | Occupational Therapist | 141 Bayberry Dr, Ozark, MO 65721-9065 | 2020-06-22 |
| 1003451865 | Morgan Lynn Walker | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2019-11-15 |
| 1306481775 | Matthew Skala | Occupational Therapist | 850 N 25th St, Ozark, MO 65721-8033 | 2019-11-08 |
| 1912479775 | Hope Bentley | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2018-12-18 |
| 1225535883 | Mary Kathleen Mccluney | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2018-04-10 |
| 1083116453 | Breanna Cantrell | Occupational Therapist | 850 N 25th St, Ozark, MO 65721-8033 | 2018-03-01 |
| 1780185199 | Kenya Nicole Garmany | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2018-02-22 |
| 1700261021 | Elizabeth Duley | Occupational Therapist | 1496 W State Highway J, Ozark, MO 65721-7473 | 2015-07-28 |
| 1699167080 | Julie C Killpack | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2015-02-23 |
| 1831587922 | Katie Moul | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360 | 2014-12-26 |
| Find all providers in OZARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.