Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marissa Anne Bergman, OTA

Individual provider Occupational Therapy Assistant · NPI 1801474333

Marissa Anne Bergman, OTA is an Occupational Therapy Assistant in Paola, Kansas. Licensed in Kansas. Registered with an NPI since 2021.

Licensed in
KS
In the registry since
2021
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Practice location Address checks out

1108 Valley Dr
Paola, KS 66071-1148
Phone: (913) 731-3093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 18-01728 (KS)

Record details

NPI number1801474333
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

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