Individual provider Active NPI

Yosmel Hernandez, OTR/L

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1386072478
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19408 Issued in FL
Practice address
6126 NW 175TH Ter
Hialeah, FL 33015
Phone
(786) 371-6519
NPI assigned
Oct 29, 2013
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT19408 FL Primary
General Care Registered Respiratory Therapist 2279G1100X RT11880 FL

Addresses

Primary practice location

6126 NW 175TH Ter
Hialeah, FL 33015

Mailing address

6126 NW 175TH Ter
Hialeah, FL 33015-4534
Phone (786) 371-6519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201223000789 FL Practitioner - Occupational Therapist in Private Practice 9739591355 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19408FLMDOccupational Therapist
RT11880FLMDGeneral Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphatx Inc Occupational Therapist CurrentSince May 1, 2021 Accepting new patients
Sobe Innovative Rehabilitation PLLC Occupational Therapist CurrentSince Oct 22, 2020 Accepting new patients
Florida Strong Physical Therapy LLC CurrentSince Apr 6, 2023 Accepting new patients
Lymphatx Inc CurrentSince May 1, 2021 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

7301 W Palmetto Park Rd
Ste 101C
Boca Raton, FL 33433
Phone (561) 392-5131

10075 S Jog Rd
Ste 201
Boynton Beach, FL 33437
Phone (561) 733-1012

7301 N University Dr
Ste 301
Tamarac, FL 33321
Phone (954) 720-4350

Organizations & group practices 5

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1386072478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 NW 175TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154534",
            "telephone_number": "786-371-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 NW 175TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "786-371-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "YOSMEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19408",
            "primary": true
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "FL",
            "license": "RT11880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.