Active NPI
Amy Louise Blair, P.T.
- Physical Therapist
- Round Rock, TX
National Provider Identifier
1033501804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1134724
- Practice address
- 4701 Campus Village Dr.
Round Rock, TX 78665 - Phone
- (208) 440-4162
- NPI assigned
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1134724 | TX | Primary |
Addresses
Primary practice location
4701 Campus Village Dr.
Round Rock, TX 78665
Mailing address
8901 Pepper Rock Dr.
Austin, TX 78717
Phone (208) 440-4162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134724 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1033501804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 PEPPER ROCK DR.",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78717",
"telephone_number": "208-440-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 CAMPUS VILLAGE DR.",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78665",
"telephone_number": "208-440-4162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "AMY",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1134724",
"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 Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.