Individual provider Active NPI

Michael Daniel Hernandez, OTR

  • Occupational Therapist
  • Mercedes, TX
National Provider Identifier
1528599321
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118290 Issued in TX
Practice address
208 Starr St
Mercedes, TX 78570-2734
Phone
(956) 514-1551
Fax
(956) 514-1554
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 118290 TX Primary

Addresses

Primary practice location

208 Starr St
Mercedes, TX 78570-2734

Mailing address

208 Starr St
Mercedes, TX 78570-2734
Phone (956) 514-1551

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118290TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
QTP II Inc Occupational Therapist Current Accepting new patients
QTP II, Inc. Current Accepting new patients
QTP Inc Occupational Therapist Current Accepting new patients

Locations

208 Starr St
Ste 2
Mercedes, TX 78570
Phone (956) 514-1551

208 Starr St
Mercedes, TX 78570
Phone (956) 514-1551

910 E 8th St
Ste 7
Weslaco, TX 78596
Phone (956) 447-3565

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1528599321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 STARR ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702734",
            "telephone_number": "956-514-1551",
            "fax_number": "956-514-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STARR ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702734",
            "telephone_number": "956-514-1551",
            "fax_number": "956-514-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHAEL",
        "middle_name": "DANIEL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercedes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.