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

Mr. Justin Keith Gerhardt, PT

Individual provider Physical Therapist · NPI 1275767246

Mr. Justin Keith Gerhardt, PT is a Physical Therapist in Private Practice in Hannibal, Missouri. Qualified in 2008, 18 years ago. Practices with Advance Physical Therapy and Sports Medicine of Chatham LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3652 Stardust Dr
Hannibal, MO 63401-6212
Phone: (573) 221-8800
Fax: (573) 221-1808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2009006691 (MO)

Record details

NPI number1275767246
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 6, 2009
Last updated in NPPESMay 6, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Advance Physical Therapy And Sports Medicine Of Chatham Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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