Individual provider Active NPI

Denise Hernandez, PTA

  • Physical Therapy Assistant
  • Homestead, FL
National Provider Identifier
1528693777
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA30112 Issued in FL
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PTA30112MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PTA30112FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Libre Therapy Services LLC CurrentSince Mar 16, 2020 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.

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.

Verify at the official NPI Registry.