Individual provider Active NPI

Clarissa Leal

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1780408294
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1401868 Issued in TX
Practice address
2500 W William Cannon Dr Ste 409
Austin, TX 78745-5290
Phone
(512) 852-8434
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1401868 TX Primary

Addresses

Primary practice location

2500 W William Cannon Dr Ste 409
Austin, TX 78745-5290

Mailing address

2500 W William Cannon Dr Ste 409
Austin, TX 78745-5290
Phone (512) 852-8434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206002025 TX Practitioner - Physical Therapist in Private Practice 9739619792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Beth Hopkins MPT PC Dba Your Personal Best PTGroup PAC ID 4082623152, 34 clinicians

Practice addresses (Care Compare)

2500 W William Cannon Dr
Suite 409
Austin, TX 78745-5290
Phone (512) 852-8434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1401868TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist Current Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

2500 W William Cannon Dr
Ste 409
Austin, TX 78745
Phone (512) 852-8434

Organizations & group practices 3

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1780408294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 409",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455290",
            "telephone_number": "512-852-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 409",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455290",
            "telephone_number": "512-852-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "CLARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1401868",
            "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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.