Individual provider Active NPI

Mariana Hernandez

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1366995615
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
525 Oak Centre Dr
#450
San Antonio, TX 78258-3944
Phone
(210) 297-4525
NPI assigned
Aug 3, 2016
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

525 Oak Centre Dr
#450
San Antonio, TX 78258-3944

Mailing address

9623 Dak Ave
San Antonio, TX 78254-2115
Phone (956) 832-4076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822001820 TX Practitioner - Physical Therapist in Private Practice 6800181413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

112 Herff Rd
Suite 310
Boerne, TX 78006-2750
Phone (830) 431-9660

21 Spurs LN
Suite 340
San Antonio, TX 78240-1680
Phone (210) 798-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of San Antonio, PA CurrentSince Feb 1, 2022 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients

Locations

112 Herff Rd
Ste 310
Boerne, TX 78006
Phone (830) 431-9660

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

3303 Rogers Rd
Ste 220
San Antonio, TX 78251
Phone (210) 585-4270

430 W Sunset Rd
Ste 430
San Antonio, TX 78209
Phone (210) 253-3450

5917 Broadway
Ste 340
San Antonio, TX 78209

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1366995615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 DAK AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542115",
            "telephone_number": "956-832-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR",
            "address_2": "#450",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583944",
            "telephone_number": "210-297-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 21, 2022; 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.