Stacy Heather Bergman
Stacy Heather Bergman is an Occupational Therapy Assistant in Ponca City, Oklahoma. Licensed in New Mexico and Oklahoma. Registered with an NPI since 2020.
- Licensed in
- NM, OK
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1601 Academy RdPonca City, OK 74604-4409
Phone: (580) 340-3728
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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 OA780 (OK) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence OT-2026-070 (NM) |
Record details
| NPI number | 1912538000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 28, 2020 |
| Last updated in NPPES | July 10, 2026 |
| Certification date | July 10, 2026 |
| Mailing address | 3750 S 13th St, Blackwell, OK 74631-6702 |
Other providers in Ponca City
-
Noelle Brien
220 Village Cir, Ponca City, OK 74601-4021 · (918) 417-6424
-
Children S Therapy Zone LLC
220 Village Cir, Ponca City, OK 74601-4021 · (580) 830-0662
-
Marcy Edwards
1400 N Waverly St, Ponca City, OK 74601-2134 · (580) 762-6668
-
Jessica Marie Helm, COTA/L
220 Village Cir, Ponca City, OK 74601-4021 · (580) 830-0667