Marcelina Hernandez Moore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2033793 Issued in TX

Practice address

419 N King St
Suite 5
Seguin, TX 78155-5008

Phone

(830) 303-8631

Fax

(830) 303-8541

NPI assigned

Aug 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marcelina Hernandez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Professional Therapy Services of Texas, Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1013921444
  NPD (past)
• Southlake BNPT Investment LLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1205468683
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1316226004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N KING ST",
            "address_2": "SUITE 5",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555008",
            "telephone_number": "830-303-8631",
            "fax_number": "830-303-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N KING ST",
            "address_2": "SUITE 5",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555008",
            "telephone_number": "830-303-8631",
            "fax_number": "830-303-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARCELINA",
        "middle_name": "HERNANDEZ",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2033793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELINA",
            "last_name": "HERNANDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mission Rehabilitation and Sports Medicine Limited Partnership
• Mockingbird Health - Birth & Family Care, PLLC
• Gery Wane Moczygemba, D.D.S.
• Mary Beth Mollenkopf, MSN, RN AGCNS-BC
• Lance Harvey Montgomery, DO
• Reinaldo Miguel Morales II, MD
• Whitney Bethel Morgan, MD
• Carole Anne Moring-Reuter, D.C.
• Shadi Mourad, MD
• My Local Texas Dental Practice, PLLC

• Physical Therapy Assistant in Seguin, TX
• Providers in Seguin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.