MEDICARE: MR. TODD MICHAEL BOHEMIER PT/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P2441	NC

General Provider Information

NPI Number	:	1568559979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TODD MICHAEL BOHEMIER PT/L

Provider Business Mailing Address
First Line	:	1425 2ND ST NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 2ND ST NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2552
Country	:	US
Telephone Number	:	336-846-7227
Fax Number	:	336-846-4004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	03/10/2026

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