Blaze B Huber

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2074248 Issued in TX

Practice address

900 Congress Ave
Ste L-Vaults
Austin, TX 78701-2437

Phone

(512) 467-1100

NPI assigned

Aug 3, 2010

Last updated

Jul 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1588978498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101A VALLEY VIEW RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047994",
            "telephone_number": "512-913-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CONGRESS AVE",
            "address_2": "STE L-VAULTS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012437",
            "telephone_number": "512-467-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "BLAZE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2074248",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT046366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayl Hubatch, OMD
• Ashley Hubbard, M.S.
• Charles Jason Hubbard, DPM
• Kristie Hubbard, RD
• Olivia Hubbard, APRN-CNP
• John D Huber, PSY.D.
• Katie Hubik, BCBA
• Rachel Hubka, LCSW
• Carmela K Hubler, RN, MSN, CDE, CNS
• James Matthew Hubley, DO

• Physical Therapy Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.