Individual provider Active NPI

Craig Gerhardt, OTR

  • Physical Rehabilitation Occupational Therapist
  • Penn Yan, NY
National Provider Identifier
1760135347
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Practice address
1 Keuka Business Park
Suite 118
Penn Yan, NY 14527
Phone
(315) 694-9056
NPI assigned
Feb 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X Primary

Addresses

Primary practice location

1 Keuka Business Park
Suite 118
Penn Yan, NY 14527

Mailing address

1710 Twin Oaks Dr
Penn Yan, NY 14527-9391
Phone (315) 759-1641

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D Knapp Independent at Home CurrentSince Feb 6, 2022 Accepting new patients

Locations

1 Basin St
Ste 118
Penn Yan, NY 14527
Phone (315) 694-9056

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1760135347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 TWIN OAKS DR",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279391",
            "telephone_number": "315-759-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KEUKA BUSINESS PARK",
            "address_2": "SUITE 118",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "315-694-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHARDT",
        "first_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.