Active NPI
Michael Austin Hernandez
- Physical Therapist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3052 NW Merchant Way Ste 100
Bend, OR 97703-5466 - Phone
- (541) 797-5800
- Fax
- (541) 249-5103
- NPI assigned
- Jul 29, 2024
- Last updated
- Jul 29, 2024
- Sex
- Male
- 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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
3052 NW Merchant Way Ste 100
Bend, OR 97703-5466
Mailing address
3052 NW Merchant Way Ste 100
Bend, OR 97703-5466
Phone (541) 797-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1334 NE 2ND St
Bend, OR 97701-4344
Phone (781) 674-6129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiofitness Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Prentice Chiropractic LLC | Past | Accepting new patients |
Locations
1334 NE 2nd St
Bend, OR 97701
Phone (541) 797-5800
3052 NW Merchant Way
Ste 100
Bend, OR 97703
Phone (541) 797-5800
Organizations & group practices 2
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 Therapy Clinic/Center
- Bend, OR
- NPI 1033865092
Physical Therapist
-
- Chiropractor
- Bend, OR
- NPI 1447867866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1609605666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3052 NW MERCHANT WAY STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977035466",
"telephone_number": "541-797-5800",
"fax_number": "541-249-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3052 NW MERCHANT WAY STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977035466",
"telephone_number": "541-797-5800",
"fax_number": "541-249-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MICHAEL",
"middle_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.