Amy Nicole Bourland, PT
Individual provider Active NPI Physical Therapist · Fort Worth, TX
NPI 1073940201 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1073940201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1226977 (TX)
- Practice address
- 7277 Hawkins View Dr
Fort Worth, TX 76132-3921 - Phone
- (817) 423-5611
- Fax
- (817) 423-5577
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Rehab Center Inc
Practice addresses (Care Compare)
6407 Southwest Blvd
Benbrook, TX 76132-2777
Phone (817) 423-5611
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.64 of 100
- Quality
- 46.1
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 76.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230516003061 | TX | Practitioner - Physical Therapist in Private Practice | 9335505486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Physical Therapist | Current |
Accepting new patients |
| Endeavor Rehab Center Inc | Physical Therapist | Current |
Accepting new patients |
Locations
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
6407 Southwest Blvd
Benbrook, TX 76132
Phone (817) 423-5611
5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611
Interoperability endpoints
- amy.bourland.p1@direct.thc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1226977 | TX | Yes |
Addresses
Primary practice location
7277 Hawkins View Dr
Fort Worth, TX 76132-3921
Mailing address
7277 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone (817) 423-5611
Other providers in Fort Worth, TX
- Johnica Bounds
- Bountiful Community Home Health L.L.C.
- Ryan Bourgeois
- Emily Bourget
- Aaronn Bourland
- Karen Bourland
- Malek H Bouzaher
- Alec Bove
- Paige Diane Bowden
- Cassidy Bowen
All providers in Fort Worth, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.