Individual provider Active NPI

David Hernandez

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1033864939
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21130 Issued in FL
Practice address
2140 W 68TH St Ste 403
Hialeah, FL 33016-1815
Phone
(305) 987-3058
NPI assigned
Feb 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT21130 FL Primary

Addresses

Primary practice location

2140 W 68TH St Ste 403
Hialeah, FL 33016-1815

Mailing address

7800 NW 25TH St
Doral, FL 33122-1625
Phone (305) 593-2174

Other practice location 1

7800 NW 25th St
Doral, FL 33122-1625
Phone (305) 593-2174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000646 FL Practitioner - Occupational Therapist in Private Practice 1951753581 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Homestretch Rehabilitation LLC CurrentSince Apr 19, 2023 Accepting new patients
Homestretch Rehabilitation LLC Current Accepting new patients

Locations

2140 W 68th St
Ste 403D
Hialeah, FL 33016
Phone (786) 355-9063

2140 W 68th St
Ste 403
Hialeah, FL 33016
Phone (305) 688-6484

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1033864939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 25TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221625",
            "telephone_number": "305-593-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W 68TH ST STE 403",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161815",
            "telephone_number": "305-987-3058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 NW 25th St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221625",
            "country_code": "US",
            "telephone_number": "305-593-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.