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NPI 1164567483 · live from the CMS NPI Registry

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Physical Therapist in San Antonio, TX. National Provider Identifier 1164567483, active.

NPI record

NPI1164567483 Type 2 · organization
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location13133 Nw Military Hwy, Ste# 300, San Antonio, TX 78231
Practice phone210-308-7473
EnumeratedFebruary 21, 2007
Last updatedSeptember 11, 2025
Authorized officialGregory Otterman, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor111N00000X6583 (TX)
Physical Therapist primary225100000X1170429 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.