Active NPI
Gerald Oler, OTR
- Occupational Therapist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31007775A
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31007775A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Outpatient Services | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Serene Stays LLC | Occupational Therapist | Current | Accepting new patients |
| Cozynest Homehealth LLC | Past | 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.
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
Occupational Therapist
-
- Occupational Therapist
- Elkhart, IN
- NPI 1750050977
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Occupational Therapist
-
- Home Health Agency
- South Bend, IN
- NPI 1649121591
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.