Annette Gercken, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000327 Issued in MO

Practice address

1200 W College St
Liberty, MO 64068-1036

Phone

(816) 781-3020

NPI assigned

Apr 23, 2014

Last updated

May 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key Rehabilitation,Inc.

  dba GeroPsych, a division of Key Rehabilitation, Inc.

  • Psychologist
  • Salem, MO
  • NPI 1821335613
  Medicare reassignment NPD
• Key Rehabilitation Inc

  • Rehabilitation Hospital Unit
  • Carthage, MO
  • NPI 1588781686

  Occupational Therapist

  NPD
• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1679328975
  NPD

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1962822486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W COLLEGE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681036",
            "telephone_number": "816-781-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W COLLEGE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681036",
            "telephone_number": "816-781-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERCKEN",
        "first_name": "ANNETTE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "000327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OC000327",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Plastic Surgery PC
• Gentle Gynecology P.C.
• Jaryn S Gentry, FNP-C
• Santosh George, M.D.
• Karin Gerberding
• Elizabeth Kay Gerstner, MD
• Tapas Ghose, M.D.
• Gibson Chiropractic Clinic Jodi Pedersen General Partner
• Jennifer Nichole Gibson, FNP
• Matthew Curtis Gilbertson, ATC

• Occupational Therapist in Liberty, MO
• Providers in Liberty, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.