Individual provider Active NPI

Jennifer Hernandez, DPT

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1306331673
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4800 Maine St Ste 48-100
Quincy, IL 62305-5875
Phone
(217) 222-6800
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 Primary

Addresses

Primary practice location

4800 Maine St Ste 48-100
Quincy, IL 62305-5875

Mailing address

4800 Maine St Ste 48-100
Quincy, IL 62305-5875
Phone (217) 222-6800

Other names 1

  • Jennifer Hill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180706000507 IA Practitioner - Physical Therapist in Private Practice 1850647793 Reassigns benefits to 1 organization
I20180822002545 MO Practitioner - Physical Therapist in Private Practice 1850647793 Reassigns benefits to 1 organization
I20180922000113 IL Practitioner - Physical Therapist in Private Practice 1850647793 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Advance Hannibal Regional Hospital LLCGroup PAC ID 6709022122, 22 clinicians

Practice addresses (Care Compare)

188 Medical Dr
Suite a
Hannibal, MO 63401-6877
Phone (573) 406-0576

225 Main St
Keokuk, IA 52632-5837
Phone (319) 524-4900

4800 Maine St
Suite 48 100
Quincy, IL 62305-5875
Phone (217) 222-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Hannibal Regional Hospital LLC Physical Therapist CurrentSince Jul 30, 2018 Accepting new patients
Advance Physical Therapy of Hancock County LLC Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince Aug 16, 2018 Accepting new patients
Advance Hannibal Regional Hospital, LLC Physical Therapist CurrentSince Jul 30, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC CurrentSince Aug 16, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Advance PT-Blessing Corp Services-Ft Madison Community Hosp Physical Therapist CurrentSince Jun 28, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients

Locations

225 Main St
Keokuk, IA 52632
Phone (319) 524-4900

1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000

1089 Jason Pl
Chatham, IL 62629
Phone (217) 483-5858

3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412

4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937

160 Progress Rd
#111
Hannibal, MO 63401

188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576

188A Medical Dr
Hannibal, MO 63401
Phone (573) 406-0576

1605 S Baltimore St
Ste C
Kirksville, MO 63501
Phone (573) 406-1371

1811 S Main St
Palmyra, MO 63461
Phone (573) 769-2231

Organizations & group practices 10

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1306331673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MAINE ST STE 48-100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055875",
            "telephone_number": "217-222-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MAINE ST STE 48-100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055875",
            "telephone_number": "217-222-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.