Abighail Micah Hernandez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018944 Issued in MI

Practice address

15400 Trenton Rd
Southgate, MI 48195-2075

Phone

(734) 284-4620

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1154018265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 TRENTON RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952075",
            "telephone_number": "734-284-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 TRENTON RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952075",
            "telephone_number": "734-284-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ABIGHAIL",
        "middle_name": "MICAH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomee Her
• Damon Kareem Herbert, MS
• Jean Herbison
• Christine Jo Hergren, MA, LLP, CAAC
• Jennifer Herman
• Terea Lashawn Hernandez, MA LLPC
• Terrie Heron, BSW
• Alexandria Herrod
• Shayla Laniece Herron
• Nicole Kathryn Hess, B.A. S.S.T.

• Physical Therapist in Southgate, MI
• Providers in Southgate, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.