MRS. HEATHER BERGLUND OTR
NPI 1295039311
Occupational Therapist in Kenosha, WI
NPI Status: Active since January 04, 2011
- Individual
- Female
- Years of Experience 16
- Occupational Therapist
- May Accept Medicare Approved Payment
About HEATHER BERGLUND
This page provides the complete NPI Profile along with additional information for Heather Berglund, a provider established in Kenosha, Wisconsin with a medical specialization in Occupational Therapist and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1295039311 assigned on January 2011. The practitioner's primary taxonomy code is 225X00000X with license number 4884-026 (WI). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1295039311
- Provider Name
- MRS. HEATHER BERGLUND OTR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1519 60TH ST KENOSHA, WI 53140
- Location Phone
- (262) 656-7500
- Mailing Address
- 8551 VENTANA DR UNIT 4423 OAK CREEK, WI 53154
- Mailing Phone
- (701) 650-0226
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-04-2011
- Last Update Date
- 01-18-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 4884-026
- License State
- WI
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Heather Berglund is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 244751774
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250312003098
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for MRS. HEATHER BERGLUND OTR
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 0 | 3 | 9 | 3 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 0 | 3 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 0 + 3 + 1 + 8 + 3 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1295039311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073839056 | MRS. JACELYN ANN MARCINIAK P.T.A. Individual | Physical Therapy Assistant | 1519 60TH ST KENOSHA, WI 53140 (262) 656-7500 |
| 1952740144 | MS. GAIL A TREFFINGER GAIL TREFFINGER Individual | Occupational Therapist | 1519 60TH ST KENOSHA, WI 53140 (262) 656-7500 |
| 1801006978 | MIDWAY MANOR CORP. Organization | Skilled Nursing Facility | 1519 60TH ST KENOSHA, WI 53140 (262) 656-7500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295039311, enumerated in the NPI registry as an "individual" on January 04, 2011
The provider is located at 1519 60th St Kenosha, Wi 53140 and the phone number is (262) 656-7500
The provider's speciality is Occupational Therapist with taxonomy code 225X00000X
The provider has more than 16 years of experience.
This NPI record was last updated on January 04, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.