GARY EDWIN ANDERSEN OTR
NPI 1770615577
Occupational Therapist in Syracuse, NY

Active since March 09, 2007
800 S WILBUR AVE, SYRACUSE, NY 13204(315) 689-1281 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gary Edwin Andersen Otr NPPES

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

GARY EDWIN ANDERSEN OTR (NPI 1770615577) is an individual occupational therapist in Syracuse, New York, licensed in New York (0086361) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1770615577
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameGARY EDWIN ANDERSENCredential: OTR
Location Address800 S WILBUR AVESyracuse, NY 13204-2732
Mailing Address108 Meadow LnElbridge, NY 13060-9713 · (315) 689-1281
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1770615577 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 NY · 0086361
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.
800 S WILBUR AVE, Syracuse, NY 13204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Edwin Andersen Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Gary Andersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Developmental Disabilities
215 BASSETT ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 342 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 20

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

Audiologist
800 S WILBUR AVE
SYRACUSE, NY 13204
Registered Nurse
800 S WILBUR AVE
SYRACUSE, NY 13204
Registered Nurse
800 S WILBUR AVE
SYRACUSE, NY 13204
Dietitian, Registered
800 S WILBUR AVE
SYRACUSE, NY 13204
Dietitian, Registered
800 S WILBUR AVE
SYRACUSE, NY 13204
Physical Therapist
800 S WILBUR AVE
SYRACUSE, NY 13204
Physical Therapist
800 S WILBUR AVE
SYRACUSE, NY 13204
Registered Nurse
800 S WILBUR AVE
SYRACUSE, NY 13204

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 Gary Andersen's NPI number?

The NPI number for Gary Andersen is 1770615577. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Gary Andersen located?

Gary Andersen practices at 800 S Wilbur Ave, Syracuse, NY 13204. The listed phone number is (315) 689-1281.

What is Gary Andersen's specialty?

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

Is Gary Andersen enrolled in Medicare?

Yes. Gary Andersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Andersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Andersen reassigns Medicare benefits to State Of New York Comptrollers Office (Syracuse, NY). The 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 Gary Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gary Andersen was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.