Active NPI
Denise Hernandez, PTA
- Physical Therapy Assistant
- Homestead, FL
National Provider Identifier
1528693777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA30112
- Practice address
- 311 NE 8TH St Ste 104
Homestead, FL 33030-4734 - Phone
- (305) 248-8600
- Fax
- (844) 272-8151
- NPI assigned
- Mar 9, 2020
- Last updated
- Mar 9, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA30112 | FL | Primary |
Addresses
Primary practice location
311 NE 8TH St Ste 104
Homestead, FL 33030-4734
Mailing address
12208 SW 251St Ter
Homestead, FL 33032-5925
Phone (786) 302-7514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA30112 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | denise.librets@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA30112 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Libre Therapy Services LLC | Current | Accepting new patients |
Locations
311 NE 8th St
Ste 104
Homestead, FL 33030
Phone (305) 245-0356
Organizations & group practices 1
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.
-
- Physical Therapist
- Palmetto Bay, FL
- NPI 1598181695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1528693777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12208 SW 251ST TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330325925",
"telephone_number": "786-302-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 NE 8TH ST STE 104",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304734",
"telephone_number": "305-248-8600",
"fax_number": "844-272-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DENISE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA30112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PTA30112",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "denise.librets@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "311 NE 8th St Ste 104",
"city": "Homestead",
"state": "FL",
"country_code": "US",
"postal_code": "330304734",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.