Individual provider Active NPI

John Patrick Gard, OTR, CHT

  • Specialist
  • Pueblo, CO
National Provider Identifier
1386867166
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
984839 Issued in CO
Practice address
4301 Thatcher Ave
Pueblo, CO 81005-1036
Phone
(719) 565-2002
Fax
(719) 564-7776
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 984839 CO Primary

Addresses

Primary practice location

4301 Thatcher Ave
Pueblo, CO 81005-1036

Mailing address

4301 Thatcher Ave
Pueblo, CO 81005-1036
Phone (719) 565-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000863 CO Practitioner - Occupational Therapist in Private Practice 8224005442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
984839COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands Plus Rehabilitation CurrentSince Oct 13, 1999 Accepting new patients

Locations

4301 Thatcher Ave
Pueblo, CO 81005
Phone (303) 263-8742

Organizations & group practices 1

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1386867166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 THATCHER AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051036",
            "telephone_number": "719-565-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 THATCHER AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051036",
            "telephone_number": "719-565-2002",
            "fax_number": "719-564-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "984839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.