Active NPI
Iris L Hernandez, OTR
- Occupational Therapist
- Sun City Center, FL
National Provider Identifier
1295958999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2962
- Practice address
- 1513 Sun City Center PLZ
Sun City Center, FL 33573-5390 - Phone
- (813) 634-6022
- Fax
- (813) 634-6053
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2962 | FL | Primary |
Addresses
Primary practice location
1513 Sun City Center PLZ
Sun City Center, FL 33573-5390
Mailing address
12857 Raysbrook Dr
Riverview, FL 33569-8718
Phone (813) 671-4672
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2962 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295958999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12857 RAYSBROOK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335698718",
"telephone_number": "813-671-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 SUN CITY CENTER PLZ",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735390",
"telephone_number": "813-634-6022",
"fax_number": "813-634-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "IRIS",
"middle_name": "L",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT2962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, 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.