Individual provider Active NPI

Luis Guillermo Fernandez, DPT

  • Physical Therapist
  • Hialeah, FL
National Provider Identifier
1447632419
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29825 Issued in FL
Practice address
5021 W 6TH Ave
Hialeah, FL 33012-3833
Phone
(305) 558-1203
NPI assigned
Jun 25, 2015
Last updated
Feb 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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 PT29825 FL Primary

Addresses

Primary practice location

5021 W 6TH Ave
Hialeah, FL 33012-3833

Mailing address

20754 W Dixie Hwy
Miami, FL 33180-1146
Phone (305) 935-9599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000410 FL Practitioner - Physical Therapist in Private Practice 7810287182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Force Physical Therapy LLCGroup PAC ID 3870626674, 11 clinicians

Practice addresses (Care Compare)

21150 Biscayne Blvd
Suite 406
Aventura, FL 33180-1250
Phone (305) 935-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Force Physical Therapy LLC Physical Therapist CurrentSince Jan 4, 2016 Accepting new patients

Locations

20754 W Dixie Hwy
Miami, FL 33180
Phone (305) 606-0337

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1447632419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20754 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-935-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W 6TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123833",
            "telephone_number": "305-558-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "GUILLERMO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29825",
            "primary": true
        }
    ],
    "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 Feb 21, 2016; 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.