Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nikole R Otahal, PA-C

Individual provider Physician Assistant · NPI 1063989689

Nikole R Otahal, PA-C is a Physician Assistant in Corpus Christi, Texas. Graduated from University of Texas Medical Branch at Galveston in 2018, 8 years ago. Practices with Shea Physical Therapy Specialists LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5917 Crosstown Expressway Sh 286
Corpus Christi, TX 78417
Phone: (361) 854-0811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12349 (TX)

Record details

NPI number1063989689
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2018 (8 years in practice)
Group practice Shea Physical Therapy Specialists Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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