Individual provider Active NPI

Jon F Blackburn, OTR, CHT

  • Hand Occupational Therapist
  • Austin, TX
National Provider Identifier
1154356079
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
109041 Issued in TX
Practice address
3006 Bee Cave Rd
Ste a-290
Austin, TX 78746-5588
Phone
(512) 329-6617
Fax
(512) 329-6772
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 109041 TX Primary

Addresses

Primary practice location

3006 Bee Cave Rd
Ste a-290
Austin, TX 78746-5588

Mailing address

3006 Bee Cave Rd
Ste a-290
Austin, TX 78746-5588
Phone (512) 329-6617

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
109041TXMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Upper Extremity Therapy, PLLC Hand PastSince Jan 5, 2008 Accepting new patients
Gary Alan Hopkins MD, PA Past Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Hand PastSince Oct 12, 2025 Accepting new patients
Humpal Physical Therapy, P.C. PastSince Dec 11, 2013 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1154356079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVE RD",
            "address_2": "STE A-290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "512-329-6617",
            "fax_number": "512-329-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVE RD",
            "address_2": "STE A-290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "512-329-6617",
            "fax_number": "512-329-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "JON",
        "middle_name": "F",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "109041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.