Active NPI
Stephany Hernandez
- Pediatric Physical Therapist
- Newport News, VA
National Provider Identifier
1497042022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 0119009753
- Practice address
- 747 Mashie CT
Newport News, VA 23602-9694 - Phone
- (305) 335-6468
- NPI assigned
- Jul 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 0119009753 | VA | Primary |
Addresses
Primary practice location
747 Mashie CT
Newport News, VA 23602-9694
Mailing address
747 Mashie CT
Newport News, VA 23602-9694
Phone (305) 335-6468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Therapy, LLC | Current | Accepting new patients | |
| Bright Minds Therapy LLC | Past | Accepting new patients |
Locations
5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Organizations & group practices 2
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.
-
- Home Health Agency
- Hialeah, FL
- NPI 1568862845
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1497042022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 MASHIE CT",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236029694",
"telephone_number": "305-335-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 MASHIE CT",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236029694",
"telephone_number": "305-335-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "STEPHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "0119009753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.