Active NPI
Eric Gerken, OTR/L
- Occupational Therapist
- Reno, NV
National Provider Identifier
1063760221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0581
- Practice address
- 2045 Silverada Blvd
Reno, NV 89512-2051 - Phone
- (775) 359-3161
- NPI assigned
- Aug 20, 2012
- Last updated
- Aug 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0581 | NV | Primary |
Addresses
Primary practice location
2045 Silverada Blvd
Reno, NV 89512-2051
Mailing address
2045 Silverada Blvd
Reno, NV 89512-2051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407123417 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1063760221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 SILVERADA BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895122051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 SILVERADA BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895122051",
"telephone_number": "775-359-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERKEN",
"first_name": "ERIC",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-20",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "0581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407123417",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.