Individual provider Active NPI

Jeanne Marie Hernandez, P.T.

  • Physical Therapist
  • Bandera, TX
National Provider Identifier
1285619676
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1090470 Issued in TX
Practice address
3456 Highway 16 S
Bandera, TX 78003
Phone
(830) 796-3447
Fax
(830) 796-3685
NPI assigned
Dec 8, 2005
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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 1090470 TX Primary

Addresses

Primary practice location

3456 Highway 16 S
Bandera, TX 78003

Mailing address

8627 Cinnamon Creek Dr Ste 402
San Antonio, TX 78240-1482
Phone (830) 796-3447

Other practice location 1

20475 Hwy 46 W Ste 150
Spring Branch, TX 78070-6180
Phone (830) 980-4055

Other identifiers 1

IdentifierTypeStateIssuer
8T7742OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001686 TX Practitioner - Physical Therapist in Private Practice 9830170950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
The Orthopedic StoreGroup PAC ID 1355255977, 3 clinicians

Practice addresses (Care Compare)

1218 Arion Pkwy
Suite 116
San Antonio, TX 78216-2813
Phone (210) 366-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopedic Store Physical Therapist CurrentSince Nov 1, 2008 Accepting new patients
The Orthopedic Store Physical Therapist Current Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Nov 12, 2019 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Nov 12, 2019 Accepting new patients
Bulverde Rehabilitation & Wellness Physical Therapist Past Accepting new patients
Bulverde Rehabilitation & Wellness Center PLLC Past Accepting new patients

Locations

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

1412 Sidney Baker St
Kerrville, TX 78028
Phone (830) 315-8420

1218 Arion Pkwy
Ste 116
San Antonio, TX 78216
Phone (210) 366-2990

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

5460 Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 491-8038

8627 Cinnamon Creek Dr
Ste 402
San Antonio, TX 78240
Phone (210) 372-9600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1285619676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR STE 402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401482",
            "telephone_number": "830-796-3447",
            "fax_number": "830-796-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 HIGHWAY 16 S",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-796-3447",
            "fax_number": "830-796-3685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20475 Hwy 46 W Ste 150",
            "address_purpose": "LOCATION",
            "city": "Spring Branch",
            "state": "TX",
            "postal_code": "780706180",
            "country_code": "US",
            "telephone_number": "830-980-4055",
            "fax_number": "830-438-4085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1090470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T7742",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandera, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.