Healthcare Provider Details

I. General information

NPI: 1225639479
Provider Name (Legal Business Name): AMY BETH HOPKINS MPT PC DBA YOUR PERSONAL BEST PT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 PRESTON RD STE 125
PLANO TX
75024-2367
US

IV. Provider business mailing address

2500 W WILLIAM CANNON DR STE 409
AUSTIN TX
78745-5290
US

V. Phone/Fax

Practice location:
  • Phone: 972-805-2355
  • Fax: 972-805-2360
Mailing address:
  • Phone: 512-852-8434
  • Fax: 512-852-8435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DALE YAKE
Title or Position: AUTHORIZED OFFICAL
Credential:
Phone: 512-852-8434