Individual provider Active NPI

Elliot Hernandez, PT, DPT

  • Physical Therapist
  • Ocean Isle Beach, NC
National Provider Identifier
1306523428
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22361 Issued in NC
Practice address
6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670
Phone
(910) 579-3900
NPI assigned
Jun 30, 2023
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11885 SC
Physical Therapist 225100000X P22361 NC Primary

Addresses

Primary practice location

6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

Other practice location 2

11 Palmetto Bay Rd Ste 103
Hilton Head Island, SC 29928-7333
Phone (843) 715-0345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230718003423 NC Practitioner - Physical Therapist in Private Practice 3375903669 Reassigns benefits to 7 organizations
I20230718003542 SC Practitioner - Physical Therapist in Private Practice 3375903669 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

851 S Main St
Holly Springs, NC 27540-8907
Phone (919) 467-4992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11885SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Group Practices II, LLC CurrentSince Sep 29, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Feb 24, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Cumberland County Hospital System Inc Physical Therapist CurrentSince Apr 17, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Unc Physicians Group Practices II, LLC CurrentSince Sep 29, 2025 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Jun 29, 2023 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Jun 29, 2023 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Jun 29, 2023 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Jun 29, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Apr 17, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Unc Physicians Network LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 101
Asheboro, NC 27203
Phone (336) 633-4263

2100 N Davidson St
Ste C
Charlotte, NC 28205
Phone (980) 556-7780

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

9325 Jw Clay Blvd
Ste 224
Charlotte, NC 28262
Phone (704) 755-4278

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1991 Fordham Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-4653

4140 Ferncreek Dr
Fayetteville, NC 28314
Phone (910) 484-2171

851 S Main St
Holly Springs, NC 27540
Phone (919) 346-8651

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

101 Lattner Ct
Ste 300
Morrisville, NC 27560
Phone (919) 238-2400

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

6278 Beach Dr SW
Ste 114
Ocean Isle Beach, NC 28469
Phone (888) 357-9043

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

130 Crisanto Ave
Ste A
Fort Mill, SC 29715
Phone (803) 487-5638

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

11 Palmetto Bay Rd
Ste 103
Hilton Head Island, SC 29928
Phone (843) 715-0345

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1306523428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 BEACH DR SW STE 114",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284693670",
            "telephone_number": "910-579-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Fordham Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Palmetto Bay Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299287333",
            "country_code": "US",
            "telephone_number": "843-715-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELLIOT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11885",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Isle Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.