KIMBERLY D BERGAN (NPI# 1285116657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285116657 |
| Entity Type | Individual |
| Full Name | KIMBERLY D BERGAN |
| Credential | MOT, OTR/L |
| Practice Address |
3607 S Heirloom Dr Bloomington IN 47401 |
| Mailing Address |
5599 W Redbud Dr Ellettsville IN 47429 |
| Practice Telephone | 8123362718 |
| Mailing Telephone | 8123200098 |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31001986A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3607 S HEIRLOOM DR |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1427304690 | Touchstone Wellness Center, Inc | Massage Therapist | 2864 E. Buick Cadillac Blvd, Bloomington, IN 47401 | 2012-07-25 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1174135057 | Hannah Masemore | Occupational Therapist | 2025 E Lincoln St, Bloomington, IL 61701-5995 | 2020-08-20 |
| 1447810411 | Elizabeth Mathews | Occupational Therapist | 443 S Landmark Ave, Bloomington, IN 47403-5004 | 2019-06-20 |
| 1427584051 | Erin Christensen | Occupational Therapist | 900 W 94th St Ste A, Bloomington, MN 55420-4207 | 2017-05-02 |
| 1164872941 | Christopher Sobota | Occupational Therapist | 220 Springfield Rd, Suite 300, Bloomington, IL 60108-3087 | 2016-06-13 |
| 1972978096 | Lafonda Mckee | Occupational Therapist | 3211 E Moores Pike Fl 3, Bloomington, IN 47401-7129 | 2015-12-01 |
| 1487027397 | Abbey Turgeon | Occupational Therapist | 9562 Yukon Cir S, Bloomington, MN 55438-1645 | 2015-11-02 |
| 1407268022 | Lydia Mitchelle Kaufman | Occupational Therapist | 5800 American Blvd W Apt 528, Bloomington, MN 55437-1489 | 2014-06-02 |
| 1518218197 | Margret I. Kingrey | Occupational Therapist | 5911 W. State Rd., Bloomington, IN 47404-0537 | 2012-09-24 |
| 1114276177 | Cynthia Johnson | Occupational Therapist | 2200 East Washington St, Bloomington, IL 61701 | 2012-09-06 |
| 1386902716 | Karen Ann Scott | Occupational Therapist | 3211 E. Moores Pike, Legacy Health Care At Redbud Hills, Bloomington, IN 47401 | 2012-04-23 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on KIMBERLY D BERGAN.
| 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.