Michael Hernandez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40739 Issued in FL

Practice address

200 SW 172ND Ave
Pembroke Pines, FL 33029-1517

Phone

(754) 233-3933

NPI assigned

Sep 11, 2023

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032

  Multi-Specialty

  Medicare reassignment NPD
• Delta Performance and Rehab, LLC

  • Physical Therapy Clinic/Center
  • Pembroke Pines, FL
  • NPI 1912765561
  NPD Authorized official
• Bolanos Associates, LLC.

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1427288851
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1518744952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330181320",
            "telephone_number": "786-227-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 172ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291517",
            "telephone_number": "754-233-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPT OF HEALTH",
            "identifier": "PT40739",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keren Hernandez
• Krystina Hernandez
• Liliam Hernandez, DMD
• Marli Oliveira Hernandez, LMT
• Mayrene Hernandez, D.O.
• Nadia Hernandez
• Nathalia Hernandez, APRN
• Niggle Hernandez
• Peter Michael Hernandez, DMD
• Ronnie Hernandez

• Physical Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.