MEDICARE: AMY BETH HOPKINS MPT PC DBA YOUR PERSONAL BEST PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1225709009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY BETH HOPKINS MPT PC DBA YOUR PERSONAL BEST PT

Provider Business Mailing Address
First Line	:	2500 W WILLIAM CANNON DR STE 409
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5290
Country	:	US
Telephone Number	:	512-852-8434
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 FOREST LN STE 220
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-7714
Country	:	US
Telephone Number	:	214-432-3292
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DALE MICHAEL YAKE
Credential	:
Telephone Number	:	678-981-3543

Provider Enumeration Date	:	09/22/2021
Last Update Date	:	09/22/2021

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