Provider Demographics
NPI:1568063717
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:AUTHORIZED OFFICAL
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 1:9560 LEGACY DR STE 210
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4556
Practice Address - Country:US
Practice Address - Phone:214-705-3132
Practice Address - Fax:214-705-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2021-04-01
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