Otm Health & Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OTM HEALTH & PHYSICAL THERAPY

Practice address

4107 Richmond PL Unit B
Texarkana, TX 75503-0002

Phone

(903) 204-7662

NPI assigned

Dec 17, 2024

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Blake Williams, PT, DPTNPI 1447836192

Title

Physical Therapist

Phone

(903) 204-7662

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Williams

  • Physical Therapist
  • Texarkana, TX
  • NPI 1447836192
  Medicare reassignment NPD Authorized official
• Arista Grace Hott, PT, DPT

  • Physical Therapist
  • Texarkana, TX
  • NPI 1043721962
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1306653837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 OLD BOSTON RD APT 19",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 RICHMOND PL UNIT B",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030002",
            "telephone_number": "903-204-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTM HEALTH & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "903-204-7662",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral and Maxillofacial Surgeons of Northeast Texas, P. a.
• Oral and Maxillofacial Surgeons of Northeast Texas, PLLC
• Orpro Inc (OrPro Prosthetics & Orthotics)
• Orthodomicile
• Rafael F Otero, PHD
• Otolaryngology and Head & Neck Surgery Associates, LLP (The ENT Group)
• Brianna Leigh Otwell, LPC INTERN
• Kouassi Adaman Ouattara, RPH
• Mari Varga Overlock, PH. D.
• Timothy L Overlock, M.D.

• Physical Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.