Nicole Hernandez, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

4332 Issued in AZ

Practice address

13481 W McDowell Rd Ste 300
Goodyear, AZ 85395-2724

Phone

(480) 244-3651

NPI assigned

Mar 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1447744461

  Occupational Therapist

  NPD
• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1619500212

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1003057928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14442 W CHAMA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853877028",
            "telephone_number": "480-244-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 W MCDOWELL RD STE 300",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952724",
            "telephone_number": "480-244-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4332",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "4332",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AZ",
            "license": "4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siomara Hercules, FNP
• Shannon Elise Herman, PT, DPT
• Adriana Hernandez Onofre, RBT
• Denise Hernandez, FNP-C
• Miguel R Hernandez, P.T.
• Ray Conrad Espiritu Hernandez
• Maricella Josephina-Juanita Herrera
• William J Herrmann, MD
• Mercedes Herzog
• Kimberly Hesjedal, LCSW

• Physical Rehabilitation Occupational Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Physical Rehabilitation Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.