ERIC ANDREW BERGSTROM
NPI 1447138839
Occupational Therapist in Playa Vista, CA

Active since August 25, 2025Accepts Medicare Assignment
12490 W FIELDING CIR, PLAYA VISTA, CA 90094(424) 447-5797 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Eric Andrew Bergstrom NPPES

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

ERIC ANDREW BERGSTROM (NPI 1447138839) is an individual occupational therapist in Playa Vista, California, licensed in California (522036) and active in the NPI registry since August 2025. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1447138839
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameERIC ANDREW BERGSTROM
Location Address12490 W FIELDING CIRPlaya Vista, CA 90094-3022
Mailing Address12490 W Fielding CirPlaya Vista, CA 90094-3022 · (424) 447-5797
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 24, 2025
✔ NPI 1447138839 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 CA · 522036
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.
12490 W FIELDING CIR, Playa Vista, CA 90094

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

Eric Andrew Bergstrom 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 ID1052814563
PECOS Enrollment IDI20250911001802

Medicare Billing Reassignment

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

Rehabilitation
4001 BELL AVE
Billings, MT 59106
  • Reassigned Medicare billing, California enrollment
  • 332 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 Eric Bergstrom's NPI number?

The NPI number for Eric Bergstrom is 1447138839. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Eric Bergstrom located?

Eric Bergstrom practices at 12490 W Fielding Cir, Playa Vista, CA 90094. The listed phone number is (424) 447-5797.

What is Eric Bergstrom's specialty?

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

Is Eric Bergstrom enrolled in Medicare?

Yes. Eric Bergstrom 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 Eric Bergstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Bergstrom reassigns Medicare benefits to Orthopaedic And Neurological Rehab Inc (Billings, MT). 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 Eric Bergstrom'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 Eric Bergstrom was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.