Individual provider Active NPI

Marco Hernandez, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1477920536
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1000002-322 Issued in NV
Practice address
7189 Advanced Way
Las Vegas, NV 89113-3691
Phone
(702) 740-5327
NPI assigned
Aug 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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 1000002-322 NV Primary

Addresses

Primary practice location

7189 Advanced Way
Las Vegas, NV 89113-3691

Mailing address

7195 Advanced Way
Las Vegas, NV 89113-3691
Phone (702) 740-5327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160930001878 NV Practitioner - Physical Therapist in Private Practice 7719274935 Reassigns benefits to 1 organization
I20210504003035 CA Practitioner - Physical Therapist in Private Practice 7719274935

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.69 of 100Reported as group
Quality
42.71
Promoting interoperability
100
Improvement activities
40
Cost
59.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3203NVMDDentist
1000002-322NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yee Advanced Orthopedics and Sports Medicine PC CurrentSince Jun 28, 2021 Accepting new patients
Executive Fitness Inc PastSince Aug 1, 2016 Accepting new patients
Yee Advanced Orthopedics & Sports Medicine PC Past Accepting new patients

Locations

2904 W Horizon Ridge Pkwy
Ste 101
Henderson, NV 89052
Phone (702) 292-3774

7189 Advanced Way
Las Vegas, NV 89113
Phone (702) 613-3780

7195 Advanced Way
Las Vegas, NV 89113

Organizations & group practices 3

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1477920536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7189 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARCO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1000002-322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.