Mario Hernandez III III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61138787 Issued in WA

Practice address

140 SW 146TH St
Burien, WA 98166-1997

Phone

(206) 630-3000

Fax

(844) 660-0682

NPI assigned

Jun 6, 2019

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaiser Foundation Health Plan of WashingtonGroup PAC ID 9032022579, 1,519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1396810701
  Medicare reassignment Care Compare group NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of Washington

  dba Everett Medical Center

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1386935351
  NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1669619870
  NPD
• Multicare Health System

  dba MultiCare Immediate Clinic

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1396297487
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Alamogordo Physical Therapy & Wellness Center, Inc.

  • Occupational Therapist
  • Alamogordo, NM
  • NPI 1962384180
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1518526243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW 146TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661997",
            "telephone_number": "206-630-3000",
            "fax_number": "844-660-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW 146TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661997",
            "telephone_number": "206-630-3000",
            "fax_number": "844-660-0682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Mahone Dr",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102046",
            "country_code": "US",
            "telephone_number": "575-439-1397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Indian Wells Rd",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883104607",
            "country_code": "US",
            "telephone_number": "575-439-1397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 S Canyon St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205733",
            "country_code": "US",
            "telephone_number": "575-439-1397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ III",
        "first_name": "MARIO",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61138787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "140 SW 146th St",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981661997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Hedrick, PT, DPT
• Amanda Louise Heimbach, LPN
• Courtney Heinrich, PT, DPT
• Wyatt Hellin
• Allison Anne Hermann
• Estephany K Hernandez
• Karri Hernandez, LPN
• Karen Hertzog, PAC
• Kim Hesch, LMT
• Judson Ryan Heugel, MD

• Physical Therapist in Burien, WA
• Providers in Burien, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.