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OLIVIA CLAIRE GORHAM PT, DPT
NPI 1497369466
Physical Therapist - Pediatrics in Georgetown, TX

Active since September 07, 2020
91.73/100
CMS Quality Rating
4402 WILLIAMS DR STE 115, GEORGETOWN, TX 78628(512) 256-7627 Get Directions Write a Review

NPPES record last updated: September 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Olivia Claire Gorham Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA CLAIRE GORHAM PT, DPT (NPI 1497369466) is an individual pediatrics provider in Georgetown, Texas, licensed in Texas (1335632) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1497369466
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameOLIVIA CLAIRE GORHAMCredential: PT, DPT
Location Address4402 WILLIAMS DR STE 115Georgetown, TX 78628-1388
Mailing Address2012 Langdale LnAustin, TX 78754-5510 · (832) 797-2131
Phone(512) 256-7627
Sole ProprietorNo
Enumeration DateSeptember 7, 2020
NPPES CertifiedSeptember 7, 2020
✔ NPI 1497369466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in TX · 1335632
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

4402 WILLIAMS DR STE 115, Georgetown, TX 78628
Open in Google Maps ↗

Other Identifiers 1

Other1335632TX · Physical Therapy License Number

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.28
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITNEY LEE PTA
Physical Therapy Assistant
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
MRS. KORINA N BOWMAN PTA
Physical Therapy Assistant
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
KARI ANN VELASQUEZ
Occupational Therapy Assistant
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
JENNA ERIN LANE SLPA
Specialist/Technologist (Speech-Language Assistant)
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
MS. SANDRA LYNN SHELTON COTA
Occupational Therapy Assistant
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
JUSTIN DAVID BABINEAUX
Behavior Analyst
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
HONOREE MCGRAW POPE PT, DPT
Physical Therapist
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (336) 782-1555
JENNIFER BRISENO
Speech-Language Pathologist
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Gorham's NPI number?

The NPI number for Olivia Gorham is 1497369466. It was assigned to this individual provider in the NPPES registry on September 7, 2020.

Where is Olivia Gorham located?

Olivia Gorham practices at 4402 Williams Dr Ste 115, Georgetown, TX 78628. The listed phone number is (512) 256-7627.

What is Olivia Gorham's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Olivia Gorham was last updated on September 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.