Individual provider Active NPI

Blaine Eric Booher, PT

  • Orthopedic Physical Therapist
  • Round Rock, TX
National Provider Identifier
1013221373
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1191290 Issued in TX
Practice address
16020 Park Valley Dr
Round Rock, TX 78681-3573
Phone
(512) 388-1448
Fax
(512) 388-7854
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1191290 TX Primary

Addresses

Primary practice location

16020 Park Valley Dr
Round Rock, TX 78681-3573

Mailing address

16020 Park Valley Dr
Round Rock, TX 78681-3573
Phone (512) 388-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210506003097 TX Practitioner - Physical Therapist in Private Practice 8921417718 Reassigns benefits to 2 organizations
I20230621002554 NM Practitioner - Physical Therapist in Private Practice 8921417718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLC 423 clinicians
Reliant Senior Living LLC 117 clinicians

Practice addresses (Care Compare)

4205 W Northwest Hwy
Parsons House Preston Hollow
Dallas, TX 75220-7802
Phone (469) 489-1536

9306 Great Hills TRL
Austin, TX 78759-7117
Phone (512) 273-3703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Orthopedic CurrentSince Jun 7, 2023 Accepting new patients
Reliant Senior Living LLC Orthopedic CurrentSince Jan 25, 2026 Accepting new patients
Empowerme Rehabilitation, LLC Orthopedic CurrentSince Jun 7, 2023 Accepting new patients
Reliant Senior Living LLC CurrentSince Jan 25, 2026 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153

4701 Ratcliffe Dr
Kyle, TX 78640
Phone (512) 920-4600

2760 W Walker St
League City, TX 77573
Phone (281) 967-7973

2022 State Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1013221373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 PARK VALLEY DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813573",
            "telephone_number": "512-388-1448",
            "fax_number": "512-388-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 PARK VALLEY DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813573",
            "telephone_number": "512-388-1448",
            "fax_number": "512-388-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "BLAINE",
        "middle_name": "ERIC",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1191290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.