Active NPI
Stacy L Liddle, PT
- Orthopedic Physical Therapist
- Austin, TX
National Provider Identifier
1447280250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1105211
- Practice address
- 911 W Anderson LN
Ste 117
Austin, TX 78757-1501 - Phone
- (512) 467-1100
- Fax
- (512) 467-1101
- NPI assigned
- Jul 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1105211 | TX | Primary |
| Massage Therapist | 225700000X | MT022197 | TX |
Addresses
Primary practice location
911 W Anderson LN
Ste 117
Austin, TX 78757-1501
Mailing address
3201 Benbrook Dr
Austin, TX 78757-6803
Phone (512) 420-9362
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT022197 | TX | MD | Massage Therapist |
| 1105211 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Beth Hopkins MPT PC Dba Your Personal Best PT | Orthopedic | Past | Accepting new patients |
| Amy Beth Hopkins MPT PC Dba Your Personal Best PT | Orthopedic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Austin, TX
- NPI 1285200477
Orthopedic
-
- Physical Therapist
- Austin, TX
- NPI 1326082660
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1447280250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 BENBROOK DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787576803",
"telephone_number": "512-420-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W ANDERSON LN",
"address_2": "STE 117",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571501",
"telephone_number": "512-467-1100",
"fax_number": "512-467-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDDLE",
"first_name": "STACY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1105211",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT022197",
"primary": false
}
],
"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 Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.