Robert Geldert III, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056005944 Issued in IL

Practice address

473 Buena Vista St
Edwardsville, IL 62025-2072

Phone

(618) 830-2666

NPI assigned

Aug 6, 2014

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 IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • O Fallon, IL
  • NPI 1982018362

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1881003572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 BUENA VISTA ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252072",
            "telephone_number": "618-830-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 BUENA VISTA ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252072",
            "telephone_number": "618-830-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELDERT",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin John Gasper, D.O.
• Diane Marie Gassiraro
• Grace Angelina Gassiraro, BSW
• Nicholas Charles Gayeski, MSN, RN
• Kathryn Gayler
• Abbie Elizabeth George
• Lauren M Gibbs
• Amy Rose Gilomen, RDN
• Adriana Givens-Keeper, LPC
• Kelsey Godar, MSN, RN

• Occupational Therapist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.