Jennifer Lynn Fernandez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37456 Issued in CA

Practice address

1845 Business Center Dr Ste 127
San Bernardino, CA 92408

Phone

(909) 890-9030

Fax

(909) 890-4393

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Socal Rehab Associates Inc

  • Physical Therapist
  • Riverside, CA
  • NPI 1780662718
  NPD
• United Therapy Network Incorporated

  • Physical Therapist
  • San Bernardino, CA
  • NPI 1508183518
  NPD
• United Therapy Network Incorporated

  • Physical Therapist
  • Riverside, CA
  • NPI 1629693619
  NPD
• United Therapy Network Incorporated

  • Physical Therapist
  • Corona, CA
  • NPI 1669691051
  NPD

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1205130259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083434",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11276 5th St",
            "address_2": "400 & 450",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300921",
            "country_code": "US",
            "telephone_number": "909-481-0437",
            "fax_number": "909-481-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0273923",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "0PT374560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaniv Fenig, M.D.
• Kenya Fennell
• Jim Parker Ferguson, DPT ECS
• Lesliy Fermin-Reyes
• Grace Fernandez
• Melissa Fernandez, SCHOOL PSY
• Omar Christopher Fernandez
• Venus Fernandez
• Fields Comp. Youth Services Inc.
• Briggette Lenise Fields

• Physical Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.