Hernan Richard Sepulveda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13672 Issued in FL

Practice address

12865 SW 211TH Ter
Miami, FL 33177-7441

Phone

(786) 473-1337

NPI assigned

Feb 11, 2025

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032

  FL, Physical Therapist

  Medicare reassignment NPD
• United Outreach Inc

  • Physical Therapist
  • Coral Springs, FL
  • NPI 1942319884
  NPD (past)

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1629883137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 SW 211TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777441",
            "telephone_number": "786-473-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 SW 211TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777441",
            "telephone_number": "786-473-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "HERNAN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "13672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Serafin Seota, DDS
• Sepa 2, LLC
• Sepa Central Florida, Inc.
• Sepa Healthcare Management, Inc.
• Maurice Sepe, M.D.
• Jaime Luis Sepulveda, MD
• Jonathan Sepulveda
• Karen Sepulveda
• Manuel Sepulveda
• Marisol Sepulveda, PT

• All providers in Miami, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.