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NPI 1164567483ActiveOrganization· Physical Therapist· San Antonio, TX

Physical Therapist in San Antonio, Texas, registered in NPPES in February 2007. The authorized official on file is Gregory T. Otterman, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1164567483
StatusActive
Entity typeOrganization
NPI issuedFeb 21, 2007
Last updated in NPPESSep 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X1170429TX
Chiropractor111N00000X6583TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other Physical Therapist providers in San Antonio

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