Shane T Hernandez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1139004 Issued in TX

Practice address

8380 Warren Pkwy
Ste 502
Frisco, TX 75034-4198

Phone

(214) 618-8075

Fax

(214) 618-8055

NPI assigned

Aug 22, 2005

Last updated

Jun 8, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Edge Rehabilitation and Sports Therapy - Allen LLC

  dba Edge Physical Therapy

  • Physical Therapist
  • Allen, TX
  • NPI 1841740347
  NPD (past) Authorized official
• Foundation Health Physical Therapy

  dba Edge Physical Therapy

  • Physical Therapist
  • Frisco, TX
  • NPI 1629002746
  Authorized official Same address or phone
• Methodist McKinney Hospital LLC

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1952538431
  NPD (past)
• Foothills Sports Medicine & Rehabilitation - Seville, LLC

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1053426767
  NPD (past)
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1437141868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 VIRGINIA PKWY",
            "address_2": "STE 1015",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715520",
            "telephone_number": "480-580-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY",
            "address_2": "STE 502",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344198",
            "telephone_number": "214-618-8075",
            "fax_number": "214-618-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SHANE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felisa Hernandez
• Jasmin Hernandez
• Johnanna Lea Hernandez, FNP
• Karla Hernandez, MS, LPC-ASSOCIATE
• Marissa Raquel Hernandez
• Victoria Herold, DO
• Olga Erenys Herrera Rodriguez
• Fatima Herrera, MT-BC
• Monica Herrera, M.D.
• Nathaniel Tristan Herrera, DC

• Physical Therapist in Frisco, TX
• Providers in Frisco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.