Christopher Chad Womble, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1280617 Issued in TX

Practice address

4364 Heritage Trace Pkwy
Suite 108
Fort Worth, TX 76244-9106

Phone

(817) 379-1400

Fax

(817) 379-1404

NPI assigned

Jul 8, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1457703969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LONG PRAIRIE RD",
            "address_2": "SUITE 104",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 HERITAGE TRACE PKWY",
            "address_2": "SUITE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449106",
            "telephone_number": "817-379-1400",
            "fax_number": "817-379-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHAD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Wolov, PA-C
• Rebecca Neili Wolverton, FNP-C
• Elizabeth Womack
• Jessica Diane Womack, MPA, PA-C
• Elizabeth Wombaker
• Eric Matthew Womboldt
• Suzanne Sophia Wombough, FNP-C
• Craig Mahlon Womeldorph, DO
• Women'S Integrated Healthcare, P.a.
• Yared Astawesegn Wondemagegn, MD

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.