Individual provider Active NPI

Brian Cole Hernandez, DPT

  • Physical Therapist
  • Hanover, PA
National Provider Identifier
1437762614
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028688 Issued in PA
Practice address
470 Eisenhower Dr
Hanover, PA 17331-5248
Phone
(717) 633-0031
NPI assigned
Aug 26, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 PT028688 PA Primary

Addresses

Primary practice location

470 Eisenhower Dr
Hanover, PA 17331-5248

Mailing address

1861 Powder Mill Road
Attn Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112000075 PA Practitioner - Physical Therapist in Private Practice 8224448774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy and PerformanceGroup PAC ID 6204249816, 4 clinicians

Practice addresses (Care Compare)

126 W Harrisburg St
Suite a
Dillsburg, PA 17019-1273
Phone (717) 502-7318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028688PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy & Performance Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

126 W Harrisburg St
Ste A
Dillsburg, PA 17019
Phone (717) 502-7318

868 N US Route 15
Dillsburg, PA 17019
Phone (717) 973-5313

100 S Front St
Wormleysburg, PA 17043
Phone (717) 216-5116

Organizations & group practices 1

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1437762614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL ROAD",
            "address_2": "ATTN MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2041",
            "fax_number": "717-747-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315248",
            "telephone_number": "717-633-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "BRIAN",
        "middle_name": "COLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.