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Annette Bergesen

NPI 1508367814ActiveIndividual· Occupational Therapy Assistant· Salt Lake City, UT

Occupational Therapy Assistant in Salt Lake City, Utah, licensed in UT, with an NPI issued in February 2018.

Overview

NPI1508367814
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 22, 2018
Last updated in NPPESFeb 22, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary224Z00000X9854061-4202UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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