ANDREW E GOTTHEARDT OTR/L, CHT
NPI 1245458918
Occupational Therapist in Kenosha, WI

Active since April 20, 2007Accepts Medicare Assignment
10320 75TH ST STE D, KENOSHA, WI 53142(800) 974-4378(630) 515-1536 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2024, Sep 30, 2016 (2 updates tracked since 2016).

About Andrew E Gottheardt Otr/l, Cht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW E GOTTHEARDT OTR/L, CHT (NPI 1245458918) is an individual occupational therapist in Kenosha, Wisconsin, licensed in Wisconsin (4342-26) and active in the NPI registry since April 2007. He maintains a secondary practice location in Burlington and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245458918
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameANDREW E GOTTHEARDTCredential: OTR/L, CHT
Location Address10320 75TH ST STE DKenosha, WI 53142-7525
Mailing Address24014 W Renwick Rd Unit 206Plainfield, IL 60544-8711 · (009) 744-3788 · Fax (630) 515-1536
Fax(630) 515-1536
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 20, 2007
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1245458918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WI · 4342-26
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
10320 75TH ST STE D, Kenosha, WI 53142

Secondary Practice Location 1

Location 11054 Milwaukee Ave Ste 200Burlington, WI 53105-1382 · Phone (800) 974-4378 ext. 1829 · Fax (630) 515-1536

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew E Gottheardt Otr/l, Cht is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729187950
PECOS Enrollment IDI20070628000226

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Gottheardt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
8201 S HOWELL AVE
Oak Creek, WI 53154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 90 clinicians in this Medicare group
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
Physical Therapist
24014 W RENWICK RD UNIT 206
Plainfield, IL 60544
  • Reassigned Medicare billing, Wisconsin enrollment
  • 56 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
10320 75TH ST STE D
KENOSHA, WI 53142
Physical Therapist
10320 75TH ST STE D
KENOSHA, WI 53142
Occupational Therapist
10320 75TH ST STE D
KENOSHA, WI 53142
Occupational Therapist
10320 75TH ST STE D
KENOSHA, WI 53142
Physical Therapist
10320 75TH ST STE D
KENOSHA, WI 53142
Physical Therapist
10320 75TH ST STE D
KENOSHA, WI 53142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Gottheardt's NPI number?

The NPI number for Andrew Gottheardt is 1245458918. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Andrew Gottheardt located?

Andrew Gottheardt practices at 10320 75th St Ste D, Kenosha, WI 53142. The listed phone number is (800) 974-4378.

What is Andrew Gottheardt's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Andrew Gottheardt enrolled in Medicare?

Yes. Andrew Gottheardt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Gottheardt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Gottheardt reassigns Medicare benefits to 3 organizations: Midwest Orthopedic Specialty Hospital, LLC (Oak Creek, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and Dpt Holdings, LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Gottheardt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Gottheardt accept?

Health plans from CareSource (Common Ground Healthcare), Oscar Health, Oscar Health Plan, Inc., Security Health Plan and UnitedHealthcare list Andrew Gottheardt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Gottheardt was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.