Individual provider Active NPI

Barbara M. Hernandez, MS, OTRL

  • Occupational Therapist
  • Boynton Beach, FL
National Provider Identifier
1184780157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10994 Issued in FL
Practice address
9920 Lago Dr
Boynton Beach, FL 33437-2770
Phone
(561) 306-7199
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10994 FL Primary

Addresses

Primary practice location

9920 Lago Dr
Boynton Beach, FL 33437-2770

Mailing address

9920 Lago Dr
Boynton Beach, FL 33437-2770
Phone (561) 306-7199

Other identifiers 1

IdentifierTypeStateIssuer
289049OtherFLAMERIGROUP FLORIDA, INC.

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10994FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Distefano PA CurrentSince May 25, 2005 Accepting new patients
Major Physical Therapy Inc Past Accepting new patients

Locations

4895 Windward Passage Dr
Ste 3
Boynton Beach, FL 33436
Phone (561) 736-9899

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184780157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 LAGO DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372770",
            "telephone_number": "561-306-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 LAGO DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372770",
            "telephone_number": "561-306-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "BARBARA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MS, OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "10994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP FLORIDA, INC.",
            "identifier": "289049",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.