Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew E Gottheardt, OTR/L, CHT

Individual provider Occupational Therapist · NPI 1245458918

Andrew E Gottheardt, OTR/L, CHT is an Occupational Therapist in Private Practice in Kenosha, Wisconsin. Qualified in 2000, 26 years ago. Practices with DPT Holdings LLC, a 167-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
26
Licensed in
WI
In the registry since
2007
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.
CHT — Certified Hand Therapist
An occupational or physical therapist with advanced certification in hand and upper-limb rehabilitation.

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Practice location Address checks out

10320 75th St Ste D
Kenosha, WI 53142-7525
Phone: (800) 974-4378
Fax: (630) 515-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1054 Milwaukee Ave Ste 200, Burlington, WI 53105-1382 — (800) 974-4378

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4342-26 (WI)

Record details

NPI number1245458918
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L , CHT
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Dpt Holdings Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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