GWEN R RADKE (OT) – Occupational Therapist, NPI 1962540724
Occupational Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GWEN R RADKE (OT)
505 N CRAIG DR
CHEROKEE, IA 510121107
Phone: (712) 261-5877
Type: Mailing
4319 NW URBANDALE DR
URBANDALE, IA 503227910
Phone: (515) 225-4070
Type: Location
Sports Rehab, 315, West 5th Street, Vista Estates Mobile Home Park, Storm Lake, Buena Vista County, Iowa, 50588, United States
STORM LAKE, IA 505881743
Phone: (712) 732-7725
Fax: (712) 732-5153
Type: Location
1119 W CEDAR ST
CHEROKEE, IA 510121538
Phone: (712) 732-7725
Fax: (712) 732-5153
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221119000490 | I | Occupational Therapist In Private Practice | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 360 | 22 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 149 | 18 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 65 | 12 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 51012)
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