Leo Fernandez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0002543 Issued in DE

Practice address

300 Hall Place
Milford, DE 19963

Phone

(302) 396-0473

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mabcf LLCGroup PAC ID 7719380484, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mabcf LLC

  • Physical Therapy Clinic/Center
  • Dover, DE
  • NPI 1538705488

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1346779774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALL PL",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALL PLACE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-396-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "J1-0002543",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dena L Falini, LMT
• Family Dentistry of Milford PA
• Dwight Huang Fan, MD
• Heather L Farkas, PT
• Fellowship Health Resources, Inc.
• Kaitlin Marie Fielder, MSN, APRN, FNP-C
• Filomeno T. Viloria M.D. P.a.
• Kathleen S Finkle, LPMCH
• First Care Physicians PA
• First State Orthopaedics, PA

• Physical Therapist in Milford, DE
• Providers in Milford, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.