MEDICARE: MS. ANDREA OCHOA P.T., DPT, FAAOMPT

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	1168858	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8J7336	OTHER	TX	MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1168858	OTHER	TX	PT LICENSE
3	8T6984	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1528197605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA OCHOA P.T., DPT, FAAOMPT

Provider Business Mailing Address
First Line	:	9931 HYATT RESORT DR
Second Line	:	APT 1432
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4164
Country	:	US
Telephone Number	:	210-896-1433
Fax Number	:

Provider Business Practice Location Address
First Line	:	5630 W LOOP 1604 N
Second Line	:	STE 105
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3805
Country	:	US
Telephone Number	:	210-523-2900
Fax Number	:	210-523-2902

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/21/2013

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Directions to “ MS. ANDREA OCHOA P.T., DPT, FAAOMPT” Practice Location

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