OLIVIA CLAIRE GORHAM (NPI# 1497369466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497369466 |
| Entity Type | Individual |
| Full Name | OLIVIA CLAIRE GORHAM |
| Credential | PT, DPT |
| Practice Address |
4402 Williams Dr Ste 115 Georgetown TX 78628-1388 |
| Mailing Address |
2012 Langdale Ln Austin TX 78754-5510 |
| Practice Telephone | 5122567627 |
| Mailing Telephone | 8327972131 |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1335632 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHYSICAL THERAPY LICENSE NUMBER | 1335632 | 01 |
| Street Address |
4402 WILLIAMS DR STE 115 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568780989 | Jenna Coe | Occupational Therapist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2010-05-10 |
| 1912510009 | Maelyn Elizabeth Downs | Occupational Therapist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2020-08-28 |
| 1003426404 | Chelsea Michelle Carter | Speech-Language Pathologist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2020-07-31 |
| 1801455878 | Klarissa Yvette Perez | Speech-Language Pathologist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2019-06-12 |
| 1295394088 | Mary Mellencamp | Speech-Language Pathologist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2019-06-06 |
| 1639732597 | Sabina Marie Conditt | Behavior Technician | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2019-04-17 |
| 1942766357 | Brian Troyce Gregory | Physical Therapist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2019-02-11 |
| 1952881039 | Courtney Lykes | Occupational Therapist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2018-08-17 |
| 1033603352 | Jennifer Briseno | Speech-Language Pathologist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2018-06-20 |
| 1043701386 | Justin David Babineaux | Behavioral Analyst | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2018-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861661829 | Leah Michele Sander | Physical Therapist | 221 Ransom Trce, Georgetown, KY 40324-2150 | 2008-02-25 |
| 1942766357 | Brian Troyce Gregory | Physical Therapist | 4402 Williams Dr Ste 115, Georgetown, TX 78628-1388 | 2019-02-11 |
| 1700086576 | Donna L. Temple | Physical Therapist | 22317 Dupont Blvd, Easter Seals Delaware and Maryland's Eastern Shore, Georgetown, DE 19947 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271472 | Brain & Body Boost, LLC | Physical Therapist | 4360 Bristleleaf Ln, Prosper, TX 75078-1218 | 2020-09-25 |
| 1871108019 | Tu Khai Le | Physical Therapist | 13503 Parkstone View Cir, Houston, TX 77083-1820 | 2020-09-14 |
| 1518572171 | Kathryn Elizabeth Hill | Physical Therapist | 8603 Broadway St Ste 170, Pearland, TX 77584-8171 | 2020-09-10 |
| 1730797838 | Sara Burris | Physical Therapist | 2424 Wilcrest Dr Ste 109, Houston, TX 77042-2761 | 2020-07-15 |
| 1043838204 | Tiffany Ainsworth | Physical Therapist | 5454 Newcastle St Apt 232, Houston, TX 77081-2259 | 2020-07-13 |
| 1811510597 | Amanda Medina Calimbas | Physical Therapist | 1019 Warm Summer Dr, Richmond, TX 77406-2732 | 2020-05-28 |
| 1720600513 | Ll Pediatric Therapy LLC | Physical Therapist | 11200 Lakeline Mall Dr Ste Do5a, Cedar Park, TX 78613-1501 | 2020-05-14 |
| 1922620822 | Toddler Town Rehab, LLC | Physical Therapist | 5219 S Mccoll Rd Ste D, Edinburg, TX 78539-3168 | 2020-05-13 |
| 1083240790 | Assiduous Healthcare Group, LLC | Physical Therapist | 1300 Lowe Rd Unit 1301, Mansfield, TX 76063-8725 | 2020-03-14 |
| 1245865823 | Brandon Krinock | Physical Therapist | 12349 Metric Blvd Apt 1125, Austin, TX 78758-2537 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.