Individual provider Active NPI

Stefanie Hernandez-Mendez

  • Physical Therapist
  • Monroeville, PA
National Provider Identifier
1124883079
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032050 Issued in PA
Practice address
2526 Monroeville Blvd Ste 3
Monroeville, PA 15146-2358
Phone
(412) 457-8200
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT032050 PA Primary

Addresses

Primary practice location

2526 Monroeville Blvd Ste 3
Monroeville, PA 15146-2358

Mailing address

6230 5TH Ave Apt 324E
Pittsburgh, PA 15232-2951
Phone (609) 414-2621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318000993 PA Practitioner - Physical Therapist in Private Practice 0244677953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Three Brown Hounds Holdings, Inc. Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients

Locations

2526 Monroeville Blvd
Ste 34
Monroeville, PA 15146
Phone (412) 457-8200

Organizations & group practices 1

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1124883079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 5TH AVE APT 324E",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322951",
            "telephone_number": "609-414-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 MONROEVILLE BLVD STE 3",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462358",
            "telephone_number": "412-457-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-MENDEZ",
        "first_name": "STEFANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.