Provider Demographics
NPI:1154449668
Name:HOHMAN REHAB AND SPORTS THERAPY LLC
Entity Type:Organization
Organization Name:HOHMAN REHAB AND SPORTS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HOHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:352-404-6908
Mailing Address - Street 1:236 MOHAWK RD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34715-7433
Mailing Address - Country:US
Mailing Address - Phone:352-404-6908
Mailing Address - Fax:352-404-6909
Practice Address - Street 1:236 MOHAWK RD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34715-7433
Practice Address - Country:US
Practice Address - Phone:352-404-6908
Practice Address - Fax:352-404-6909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891786800Medicaid
AO255AMedicare PIN
6720380001Medicare NSC