KATIE L KOYM (OTR) – Occupational Therapist, NPI 1932753977

KATIE L KOYM (OTR) is a healthcare provider. based in Odessa, Texas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 120134 (TX). The NPI Number for KATIE L KOYM (OTR) is 1932753977

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE L KOYM (OTR)
NPI
1932753977
Phone
(432) 366-9541
Address
4407 N GRANDVIEW AVE
Enumeration Date
29 July 2019
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4323669541
Graduation Year
2019 (7 years ago)
PAC ID
5496084493
Group Practice PAC ID
2163324955
Professional Enrollment ID
I20190916002824
Address ID
TX797625311OD4407XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for KATIE L KOYM (OTR)

  • 4407, North Grandview Avenue, Scottsdale, Odessa, Ector County, Texas, 79762, United States

    ODESSA, TX 797625311

    Phone: (432) 366-9541

    Fax: (432) 366-1951

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190916002824IOccupational Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18712$0
97140Therapy procedure using manual technique, each 15 minutes12912$0
View full utilization report →

Insurance plans in this area (ZIP 79762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163324955View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does KATIE L KOYM (OTR) have a public NPI I can cite?
Public records show KATIE L KOYM (OTR) under NPI 1932753977.
Is KATIE L KOYM (OTR)'s NPI status active today?
Active status means KATIE L KOYM (OTR)'s NPI record is not deactivated in the public file.
What services align with KATIE L KOYM (OTR)'s listing?
KATIE L KOYM (OTR)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to KATIE L KOYM (OTR)?
KATIE L KOYM (OTR) shows a connection to Odessa, Texas in registry-derived data.
Who maintains KATIE L KOYM (OTR)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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