COURTNEY LYNN BERGMAN
NPI 1396496865
Occupational Therapist in Ste Genevieve, MO

Active since January 15, 2022Accepts Medicare Assignment
1100 PROGRESS PKWY, STE GENEVIEVE, MO 63670(573) 883-3454 Get Directions Write a Review

NPPES record last updated: January 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Courtney Lynn Bergman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY LYNN BERGMAN (NPI 1396496865) is an individual occupational therapist in Ste Genevieve, Missouri, licensed in Missouri (2021010859) and active in the NPI registry since January 2022. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1396496865
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCOURTNEY LYNN BERGMAN
Location Address1100 PROGRESS PKWYSte Genevieve, MO 63670-9232
Mailing Address715 Pcr 202Perryville, MO 63775-9454 · (573) 517-3906
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 15, 2022
NPPES CertifiedJanuary 15, 2022
✔ NPI 1396496865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MO · 2021010859
Definition
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.
1100 PROGRESS PKWY, Ste Genevieve, MO 63670

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Lynn Bergman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395219471
PECOS Enrollment IDI20260630001280

Medicare Billing Reassignment

Medicare enrollment records show Courtney Bergman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
127 W BROAD ST
Lake Charles, LA 70601
  • Reassigned Medicare billing, Missouri enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Bergman's NPI number?

The NPI number for Courtney Bergman is 1396496865. It was assigned to this individual provider in the NPPES registry on January 15, 2022.

Where is Courtney Bergman located?

Courtney Bergman practices at 1100 Progress Pkwy, Ste Genevieve, MO 63670. The listed phone number is (573) 883-3454.

What is Courtney Bergman's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Courtney Bergman enrolled in Medicare?

Yes. Courtney Bergman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Courtney Bergman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Bergman reassigns Medicare benefits to Synergy Care Southeast, LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Bergman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Bergman was last updated on January 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.