Active NPI
Garren P. Gebhardt, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Orlando, FL
National Provider Identifier
1144278037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- OS22680
- Practice address
- 5555 E Michigan St Ste 103
Orlando, FL 32822-2700 - Phone
- (321) 710-4000
- Fax
- (321) 878-3329
- NPI assigned
- May 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS22680 | FL | |
| Internal Medicine Physician | 207R00000X | OS22680 | FL | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OS22680 | FL | Primary |
Addresses
Primary practice location
5555 E Michigan St Ste 103
Orlando, FL 32822-2700
Mailing address
5555 E Michigan St Ste 103
Orlando, FL 32822-2700
Phone (321) 710-4000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6961878 | Other | VT | CIGNA HMO |
| 201269220 | Medicaid | IN | |
| 49712 | Other | VT | BLUE CROSS/BLUE SHIELD |
| 093299 | Other | IN | SIHO |
| 000000552067 | Other | IN | ANTHEM |
| 030371536 | Other | VT | CIGNA PPO |
| 1I4071 | Other | OK | MEDICARE |
| 200939790A | Medicaid | OK | |
| 7365329 | Other | IN | AETNA |
| PO1457038 | Other | IN | RAIL ROAD PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124004869 | NJ | Practitioner - Osteopathic Manipulative Medicine | 9234212408 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11977300 | NJ | MD | Neuromusculoskeletal Medicine & OMM Physician |
Interoperability endpoints
- ggebhardt128765@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1144278037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 E MICHIGAN ST STE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222700",
"telephone_number": "321-710-4000",
"fax_number": "321-878-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 E MICHIGAN ST STE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222700",
"telephone_number": "321-710-4000",
"fax_number": "321-878-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHARDT",
"first_name": "GARREN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS22680",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS22680",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "FL",
"license": "OS22680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "6961878",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201269220",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "49712",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "093299",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000552067",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "030371536",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1I4071",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200939790A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7365329",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD PTAN",
"identifier": "PO1457038",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.