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

Omar Villa, COTA

Individual provider Occupational Therapy Assistant · NPI 1760142038

Omar Villa, COTA is an Occupational Therapy Assistant in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

224 E Nizhoni Blvd
Gallup, NM 87301-5744
Phone: (505) 863-9551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA4506 (NM)

Record details

NPI number1760142038
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021
Mailing address224 E Nizhoni Blvd, Gallup, NM 87301-5744

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