Individual provider Active NPI

Evan P Hoffart, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1720732522
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1357009 Issued in TX
Practice address
11919 Culebra Road
Building 1, Suite 101
San Antonio, TX 78253
Phone
(210) 828-7557
Fax
(210) 828-7756
NPI assigned
Feb 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1357009 TX Primary

Addresses

Primary practice location

11919 Culebra Road
Building 1, Suite 101
San Antonio, TX 78253

Mailing address

11919 Culebra Road
Building 1, Suite 101
San Antonio, TX 78253
Phone (210) 828-7557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321001876 TX Practitioner - Physical Therapist in Private Practice 5991190324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revival Performance Physical TherapyGroup PAC ID 0941606784, 5 clinicians

Practice addresses (Care Compare)

10300 Heritage St
Suite 160
San Antonio, TX 78216-3924
Phone (210) 750-9004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stratton Hogan Clinics, Inc. Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Revival Performance Physical Therapy Physical Therapist CurrentSince Apr 17, 2025 Accepting new patients
Stratton Hogan Clinics Inc Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients

Locations

11919 Culebra Rd
Bldg 1
San Antonio, TX 78253

11919 Culebra Rd
Ste 101
San Antonio, TX 78253
Phone (210) 387-5826

10300 Heritage St
Ste 160
San Antonio, TX 78216
Phone (210) 750-9004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1720732522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 CULEBRA ROAD",
            "address_2": "BUILDING 1, SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-828-7557",
            "fax_number": "210-828-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 CULEBRA ROAD",
            "address_2": "BUILDING 1, SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-828-7557",
            "fax_number": "210-828-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFART",
        "first_name": "EVAN",
        "middle_name": "P",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1357009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.