MEDICARE: MR. CHRISTOPHER S HOHMANN MPT

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	1118321	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0087ME	OTHER	TX	BLUE CROSS BLUE SHIELD
2	5467513	OTHER	TX	FIRST HEALTH

General Provider Information

NPI Number	:	1295742187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER S HOHMANN MPT

Provider Business Mailing Address
First Line	:	3017 JOYCE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4013
Country	:	US
Telephone Number	:	817-263-9222
Fax Number	:	817-838-1670

Provider Business Practice Location Address
First Line	:	3017 JOYCE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4013
Country	:	US
Telephone Number	:	817-263-9222
Fax Number	:	817-838-1670

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	08/31/2010

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