Individual provider Active NPI

Gerald Oler, OTR

  • Occupational Therapist
  • South Bend, IN
National Provider Identifier
1083493084
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007775A Issued in IN
Practice address
1520 Enchanted Forest St
South Bend, IN 46637-4740
Phone
(574) 404-1524
NPI assigned
Sep 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31007775A IN Primary

Addresses

Primary practice location

1520 Enchanted Forest St
South Bend, IN 46637-4740

Mailing address

1121 E Lasalle Ave
South Bend, IN 46617-3321
Phone (574) 287-6501

Other practice location 1

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006001460 IN Practitioner - Occupational Therapist in Private Practice 7315392669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene Stays LLCGroup PAC ID 0749784692, 2 clinicians
Senior Outpatient ServicesGroup PAC ID 6507264165, 10 clinicians

Practice addresses (Care Compare)

South Bend, IN 46628
Phone (574) 404-1524

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31007775AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Outpatient Services Occupational Therapist CurrentSince Sep 7, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Sep 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Sep 1, 2023 Accepting new patients
Serene Stays LLC Occupational Therapist CurrentSince Jul 5, 2025 Accepting new patients
Cozynest Homehealth LLC PastSince Jul 5, 2025 Accepting new patients

Locations

1540 S Logan St
Mishawaka, IN 46544
Phone (574) 207-0833

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1083493084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E LASALLE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173321",
            "telephone_number": "574-287-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ENCHANTED FOREST ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466374740",
            "telephone_number": "574-404-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 E Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465164419",
            "country_code": "US",
            "telephone_number": "574-333-9747",
            "fax_number": "574-367-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLER",
        "first_name": "GERALD",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007775A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.