Stacy Heather Bergman
NPI 1912538000ActiveIndividual· Occupational Therapy Assistant· Ponca City, OK
Occupational Therapy Assistant in Ponca City, Oklahoma, licensed in OK and NM, with an NPI issued in January 2020.
Overview
| NPI | 1912538000 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 28, 2020 |
| Last updated in NPPES | Jul 10, 2026 |
| Certified by provider | Jul 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OA780 | OK |
| Occupational Therapy Assistant | 224Z00000X | OT-2026-070 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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