Active NPI
Blaine Eric Booher, PT
- Orthopedic Physical Therapist
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1191290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCReliant Senior Living LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Orthopedic | Current | Accepting new patients |
| Reliant Senior Living LLC | Orthopedic | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Orthopedic | Current | Accepting new patients |
| Reliant Senior Living LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1255900296
Orthopedic, TX
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Orthopedic
-
- Physical Therapist
- Hopedale, MA
- NPI 1871457994
-
- Multi-Specialty Clinic/Center
- Appleton, WI
- NPI 1134844848
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
-
- Rehabilitation Clinic/Center
- Fort Wayne, IN
- NPI 1154017481
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1225766447
-
- Multi-Specialty Clinic/Center
- Charlotte, NC
- NPI 1285382440
-
- Rehabilitation Clinic/Center
- Williamsburg, VA
- NPI 1336872365
-
- Multi-Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1407586555
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.