Healthcare Provider Details

I. General information

NPI: 1629816525
Provider Name (Legal Business Name): CHRISTOPHER ALLEN BIRKENHEISER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W WILLIAM CANNON DR STE 409
AUSTIN TX
78745-5290
US

IV. Provider business mailing address

2612 WESTGATE WAY
PFLUGERVILLE TX
78660-6541
US

V. Phone/Fax

Practice location:
  • Phone: 512-852-8434
  • Fax:
Mailing address:
  • Phone: 512-366-2193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: