Individual provider Active NPI

Victor Hernandez

  • Occupational Therapist
  • Pueblo, CO
National Provider Identifier
1437820180
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1301 Fortino Blvd
Pueblo, CO 81008-2032
Phone
(719) 597-0822
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

1301 Fortino Blvd
Pueblo, CO 81008-2032

Mailing address

5117 Ingomar Way
Houston, TX 77053-3320
Phone (713) 245-9797

Other practice location 1

2446 Research Pkwy Ste 200
Colorado Springs, CO 80920-1087
Phone (719) 623-1050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927000507 CO Practitioner - Occupational Therapist in Private Practice 2769868942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2430 Research Pkwy
Suite 100
Colorado Springs, CO 80920-1093
Phone (719) 623-1795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential RLLP CurrentSince Jul 18, 2022 Accepting new patients
Action Potential RLLP Occupational Therapist CurrentSince Jul 18, 2022 Accepting new patients
Orthopedic Centers of Colorado, LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients
Action Potential RLLP Current Accepting new patients
Orthopedic Centers of Colorado, LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

2430 Research Pkwy
Ste 105
Colorado Springs, CO 80920
Phone (719) 268-3370

2430 Research Pkwy
Ste 100
Colorado Springs, CO 80920
Phone (719) 623-1050

1612 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 475-8080

1263 Lake Plaza Dr
Ste 210
Colorado Springs, CO 80906
Phone (719) 623-1050

2446 Research Pkwy
Ste 200
Colorado Springs, CO 80920
Phone (719) 623-1050

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1437820180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 INGOMAR WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533320",
            "telephone_number": "713-245-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082032",
            "telephone_number": "719-597-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2446 Research Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809201087",
            "country_code": "US",
            "telephone_number": "719-623-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.