NPIMap

Organization Active NPI

Covenant Hand Therapy PC

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1972556629
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COVENANT HAND THERAPY PC
Practice address
1101 Ohio Dr
Ste 105
Plano, TX 75093
Phone
(972) 599-9594
Fax
(972) 599-9364
NPI assigned
May 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gail Blom, MA OTR CHTNPI 1023074036
Title
Owner
Phone
(972) 599-9594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X TX
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X TX Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X TX

Addresses

Primary practice location

1101 Ohio Dr
Ste 105
Plano, TX 75093

Mailing address

1101 Ohio Dr
Ste 105
Plano, TX 75093
Phone (972) 599-9594

Other identifiers 2

IdentifierTypeStateIssuer
4724960001OtherTXPALMETTO GBA DMERC
0055JCOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050207000147 TX Part B Supplier - Clinic/Group Practice 6204887383 Receives reassigned benefits from 3 practitioners
Practice locations: Plano, TX
O20100930092807 TX DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 6204887383 Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

1705 W University Dr
Ste 120
McKinney, TX 75069
Phone (469) 742-0901

1101 Ohio Dr
Ste 105
Plano, TX 75093
Phone (972) 559-9594

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972556629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OHIO DR",
            "address_2": "STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-599-9594",
            "fax_number": "972-599-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OHIO DR",
            "address_2": "STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-599-9594",
            "fax_number": "972-599-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HAND THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-599-9594",
        "authorized_official_credential": "MA OTR CHT"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA DMERC",
            "identifier": "4724960001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0055JC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.