Justin Keith Gerhardt, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009006691 Issued in MO

Practice address

3652 Stardust Dr
Hannibal, MO 63401-6212

Phone

(573) 221-8800

Fax

(573) 221-1808

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Physical Therapy and Sports Medicine of Chatham LLCGroup PAC ID 8426124561, 4 clinicians

Advance Hannibal Regional Hospital LLCGroup PAC ID 6709022122, 22 clinicians

Advance Physical Therapy and Sports Medicine of Adams County LLCGroup PAC ID 7012954571, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Advance Hannibal Regional Hospital LLC

  • Physical Therapist
  • Palmyra, MO
  • NPI 1104684703
  Medicare reassignment Care Compare group NPD
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1104836105
  Medicare reassignment Care Compare group NPD
• Advance Physical Therapy & Sports Medicine of Chatham LLC

  • Physical Therapist
  • Chatham, IL
  • NPI 1376706234
  Medicare reassignment Care Compare group NPD
• Advance Physical Therapy of Hancock County LLC

  • Physical Therapist
  • Carthage, IL
  • NPI 1831109826
  Medicare reassignment NPD
• Advance Hannibal Regional Hospital, LLC

  • Physical Therapist
  • Hannibal, MO
  • NPI 1124364138
  NPD
• Advance Physical Therapy & Sports Medicine of Lewis County LLC

  • Physical Therapist
  • Canton, MO
  • NPI 1326058322
  NPD
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapy Clinic/Center
  • Quincy, IL
  • NPI 1073882304
  NPD
• Advance Physical Therapy & Sports Medicine of Chatham LLC

  dba Advance Physical Therapy

  • Physical Therapy Clinic/Center
  • Mt Sterling, IL
  • NPI 1619554797
  NPD
• Advance PT Therapy of Hannibal LLC

  dba Advance Physical Therapy & Sports Medicine of Hannibal, LLC

  • Physical Therapist
  • Hannibal, MO
  • NPI 1588678403
  NPD (past)
• Advance Physical Therapy & Sports Medicine LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1972513968
  NPD (past)

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1275767246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 STARDUST DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016212",
            "telephone_number": "573-221-8800",
            "fax_number": "573-221-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 STARDUST DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016212",
            "telephone_number": "573-221-8800",
            "fax_number": "573-221-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHARDT",
        "first_name": "JUSTIN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009006691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Gard, M.D.
• Scott Alan Gard, M.D.
• Emily Garrett, PHARMD
• Genoa Healthcare LLC
• Kathleen Gerding, LMSW
• Kimberly C. Gibson-Cordes, FNP-BC
• Julianna Gillam
• Nickolas John Gillette, D.O.
• Gregory Gilmore, R. PH.
• Jessica L Gilmore, RPH

• Physical Therapist in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.