Individual provider Active NPI

Brian Fernandez, DPT

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1144005505
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40751 Issued in FL
Practice address
17900 NW 5TH St Ste 102
Pembroke Pines, FL 33029-2809
Phone
(954) 367-4000
NPI assigned
Aug 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 PT40751 FL Primary

Addresses

Primary practice location

17900 NW 5TH St Ste 102
Pembroke Pines, FL 33029-2809

Mailing address

17900 NW 5TH St Ste 102
Pembroke Pines, FL 33029-2809
Phone (954) 367-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022004421 FL Practitioner - Physical Therapist in Private Practice 7618400102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Clinics of MiamiGroup PAC ID 3577911460, 2 clinicians

Practice addresses (Care Compare)

3150 W 76TH St
Hialeah, FL 33018-3886
Phone (305) 677-9507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40751FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates, LLC Physical Therapist CurrentSince Feb 15, 2026 Accepting new patients
Atlantic Rehabilitation Center CurrentSince Sep 3, 2024 Accepting new patients
Physical Therapy Clinics of Miami Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Atlantic Rehabilitation Center CurrentSince Sep 3, 2024 Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Sep 1, 2023 Accepting new patients
Rehabclinics Pta, Inc. PastSince Sep 1, 2023 Accepting new patients

Locations

16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400

11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611

3150 W 76th St
Hialeah, FL 33018
Phone (305) 677-9507

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

6280 Sunset Dr
Ste 405
South Miami, FL 33143
Phone (305) 662-4915

Organizations & group practices 6

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1144005505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "954-367-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "954-367-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.