Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497369466 Individual Practitioner Female Practitioner

Dr. Olivia Claire Gorham , PT, DPT

Physical Therapist - Pediatrics • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Dr. Olivia Gorham, PT, DPT is a registered healthcare professional specializing in Physical Therapist - Pediatrics in Georgetown, TX. Practice services are available at 4402 WILLIAMS DR STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4402 Williams Dr Ste 115

Georgetown, TX 786281388

Telephone 5122567627
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist - Pediatrics in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Georgetown, TX (626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-07
Physical Therapist - Pediatrics Primary Specialty

NUCC Taxonomy Code: 2251P0200X

State License TX 1335632

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physical Therapy License Number
1335632 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Briseno

Speech-Language Pathologist

NPI 1033603352
Justin Babineaux

Behavior Analyst

NPI 1043701386
Kari Velasquez

Occupational Therapy Assistant

NPI 1053830091
Patricia Tate

Speech-Language Pathologist

NPI 1114341484
Jenna Lane , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1144749193

Speech-Language Pathology Assistant

Jessica Kassise , OTR

Occupational Therapist

NPI 1144956434

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2020

Registered at 4402 WILLIAMS DR STE 115, GEORGETOWN, TX 786281388 (Tel: 5122567627)

📍
Updated Business Mailing Address September 07, 2020

Registered at 2012 LANGDALE LN, AUSTIN, TX 787545510 (Tel: 8327972131)

👤
Provider Name / Credentials Updated September 07, 2020

Recorded as OLIVIA GORHAM, PT, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2020

Physical Therapist (License #1335632 in TX)

🟢
Initial NPI Registration & Enumeration September 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497369466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2020
Last Update: September 07, 2020
Sole Proprietor: No

Mailing Address

2012 Langdale Ln

Austin, TX 787545510

Phone: 8327972131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.