Individual provider Active NPI

Justin John Gasper, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Edwardsville, IL
National Provider Identifier
1578848792
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036.167006 Issued in IL
Practice address
3402 Anderson Healthcare Dr
Edwardsville, IL 62025-7712
Phone
(618) 307-7900
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 2015011363 MO
Pain Medicine Physician 208VP0000X 036.167006 IL
Physical Medicine & Rehabilitation Physician 208100000X 036.167006 IL Primary
Physical Medicine & Rehabilitation Physician 208100000X 0102203750 VA
Physical Medicine & Rehabilitation Physician 208100000X BP10040290 TX
Physical Medicine & Rehabilitation Physician 208100000X 2015011363 MO

Addresses

Primary practice location

3402 Anderson Healthcare Dr
Edwardsville, IL 62025-7712

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-6500

Other practice location 2

206 N Main St
O Fallon, MO 63366-2290
Phone (636) 486-0719

Other practice location 3

121 Saint Lukes Center Dr
suite 403
Chesterfield, MO 63017-3509
Phone (314) 205-6149

Other practice location 4

100 Medical Plz
Lake Saint Louis, MO 63367-1366
Phone (877) 749-7428

Other identifiers 1

IdentifierTypeStateIssuer
200051124MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150604001694 MO Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0244458875 Reassigns benefits to 1 organization
I20231024000576 IL Practitioner - Other (Physician) 0244458875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post-Acute Physicians of Missouri, PCGroup PAC ID 6002121126, 12 clinicians

Practice addresses (Care Compare)

206 N Main St
O Fallon, MO 63366-2290
Phone (636) 486-0719

Hospital & facility affiliations

  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2015011363MOMDPhysical Medicine & Rehabilitation Physician
BP10040290TXMDPhysical Medicine & Rehabilitation Physician
036.167006ILMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Acute Physicians of Missouri PC Physical Medicine & Rehabilitation CurrentSince Nov 1, 2017 Accepting new patients
Anesthesia Solutions PLLC CurrentSince May 1, 2019 Accepting new patients
Post-Acute Physicians of Illinois LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2023 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

5825 W Cermak Rd
Cicero, IL 60804
Phone (708) 656-9120

3402 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 307-7900

1920 Nerge Rd
Elk Grove Vlg, IL 60007
Phone (847) 301-0550

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

9777 N Greenwood Ave
Niles, IL 60714
Phone (847) 470-0000

815 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 479-4246

2180 Manchester Rd
Wheaton, IL 60187
Phone (630) 665-4330

12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

206 N Main St
O Fallon, MO 63366
Phone (314) 495-8887

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

723 1st Capitol Dr
Saint Charles, MO 63301
Phone (504) 835-4919

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

1027 Bellevue Ave
Fl 2
Saint Louis, MO 63117
Phone (314) 768-8064

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

9020 Stony Point Pkwy
Ste 140
Richmond, VA 23235
Phone (804) 330-0303

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1578848792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 ANDERSON HEALTHCARE DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620257712",
            "telephone_number": "618-307-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 N Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312329",
            "country_code": "US",
            "telephone_number": "314-996-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Main St",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633662290",
            "country_code": "US",
            "telephone_number": "636-486-0719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Saint Lukes Center Dr",
            "address_2": "suite 403",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173509",
            "country_code": "US",
            "telephone_number": "314-205-6149",
            "fax_number": "314-590-5920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Lake Saint Louis",
            "state": "MO",
            "postal_code": "633671366",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASPER",
        "first_name": "JUSTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": "2015011363",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036.167006",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.167006",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102203750",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "BP10040290",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2015011363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051124",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.