Antonio Hernandez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22099 Issued in CA

Practice address

3327 M St
Suite a
Merced, CA 95348-2714

Phone

(209) 722-1030

Fax

(209) 722-5408

NPI assigned

Jul 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Rascal Creek Physical Therapy a Professional Corporation.Group PAC ID 4981643632, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

31.57 of 100Reported as individual

Quality

25

Improvement activities

0

Cost

71.9

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rascal Creek Physical Therapy a Professional Corporation.

  • Physical Therapy Clinic/Center
  • Merced, CA
  • NPI 1376575837
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1396760369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 EL PORTAL DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953401777",
            "telephone_number": "209-388-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 M ST",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482714",
            "telephone_number": "209-722-1030",
            "fax_number": "209-722-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTONIO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Hernandez Guerra
• Rosalba Hernandez Lopez
• Eduardo Hernandez-Lopez, MSW, PPSC
• Abigail Monique Hernandez
• Alexia Bautista Hernandez, ACSW
• Belen Xitlalli Hernandez
• Carmen Elizabeth Hernandez
• Celia Hernandez
• David Hernandez Jr.
• David Mariano Hernandez

• Physical Therapist in Merced, CA
• Providers in Merced, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.