Active NPI
Dario Fernandez, PT, DPT
- Orthopedic Physical Therapist
- San Antonio, TX
National Provider Identifier
1306082292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1298812
- Practice address
- 302 E Josephine St Ste 1101
San Antonio, TX 78215 - Phone
- (214) 965-0431
- Fax
- (214) 965-0434
- NPI assigned
- Dec 23, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1298812 | TX | Primary |
Addresses
Primary practice location
302 E Josephine St Ste 1101
San Antonio, TX 78215
Mailing address
139 Knibbe Ave
San Antonio, TX 78209-2732
Phone (512) 940-3745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183477202 | Medicaid | TX |
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 |
|---|---|---|---|
| 1298812 | TX | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1306082292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 KNIBBE AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092732",
"telephone_number": "512-940-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E JOSEPHINE ST STE 1101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78215",
"telephone_number": "214-965-0431",
"fax_number": "214-965-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "DARIO",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-23",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1298812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183477202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.