Provider Demographics
NPI:1326082660
Name:AMY BETH HOPKINS MPT PC DBA YOUR PERSONAL BEST PT
Entity Type:Organization
Organization Name:AMY BETH HOPKINS MPT PC DBA YOUR PERSONAL BEST PT
Other - Org Name:YOUR PERSONAL BEST PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-852-8434
Mailing Address - Street 1:2500 W WILLIAM CANNON DR STE 409
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5290
Mailing Address - Country:US
Mailing Address - Phone:512-852-8434
Mailing Address - Fax:512-852-8435
Practice Address - Street 1:2500 W WILLIAM CANNON DR STE 409
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5290
Practice Address - Country:US
Practice Address - Phone:512-852-8434
Practice Address - Fax:512-852-8435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1148408225100000X
TX1155320225100000X
TX1146567225100000X
TX1007474225100000X
TX1131712225100000X
TX11052112251X0800X
TX109041225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W394Medicare PIN