Active NPI
Charles Joseph Farley Hernandez, DPT
- Physical Therapist
- Milton, FL
National Provider Identifier
1083258917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35169
- Practice address
- 6568 Caroline St
Milton, FL 32570-4702 - Phone
- (877) 609-0123
- Fax
- (888) 425-0398
- NPI assigned
- Nov 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35169 | FL | Primary |
Addresses
Primary practice location
6568 Caroline St
Milton, FL 32570-4702
Mailing address
7825 3Rd St N Ste 105
Oakdale, MN 55128-5403
Phone (952) 835-4512
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | 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 Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
-
- Physical Therapist
- Eldersburg, MD
- NPI 1164427092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1083258917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 3RD ST N STE 105",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285403",
"telephone_number": "952-835-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6568 CAROLINE ST",
"city": "MILTON",
"state": "FL",
"postal_code": "325704702",
"telephone_number": "877-609-0123",
"fax_number": "888-425-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CHARLES",
"middle_name": "JOSEPH FARLEY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-04",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.