Karissa Sue Gerdeman

Individual provider Active NPI Occupational Therapy Assistant · Ottawa, OH

NPI 1538098397 · NPPES record last updated May 18, 2026

Key facts

NPI
1538098397
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA007548 (OH)
Practice address
124 Putnam Pkwy
Ottawa, OH 45875-8676
Phone
(419) 523-5951
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA007548OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA007548 OH Yes

Addresses

Primary practice location

124 Putnam Pkwy
Ottawa, OH 45875-8676

Mailing address

124 Putnam Pkwy
Ottawa, OH 45875-8676
Phone (419) 523-5951

Other providers in Ottawa, OH

All providers in Ottawa, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.