Individual provider Active NPI

Matthew Ray Hernandez, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1639696669
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1293395 Issued in TX
Practice address
21 Spurs LN Ste 340
San Antonio, TX 78240-1680
Phone
(210) 798-8585
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1293395 TX
Physical Therapist 225100000X 1293395 TX Primary

Addresses

Primary practice location

21 Spurs LN Ste 340
San Antonio, TX 78240-1680

Mailing address

21 Spurs LN Ste 340
San Antonio, TX 78240-1680

Other practice location 1

100 Bonham Ct Ste A
Red Oak, TX 75154-4665
Phone (432) 530-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180403000472 TX Practitioner - Physical Therapist in Private Practice 4284996232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 300
San Antonio, TX 78240-1679
Phone (210) 699-8326

21 Spurs LN
Suite 340
San Antonio, TX 78240-1680
Phone (210) 798-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1293395TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Feb 20, 2018 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Mar 1, 2019 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Feb 20, 2018 Accepting new patients
Southlake BNPT Investment LLC Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

112 Herff Rd
Ste 310
Boerne, TX 78006
Phone (830) 431-9660

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

3303 Rogers Rd
Ste 220
San Antonio, TX 78251
Phone (210) 585-4270

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

10622 State Highway 151
Ste 204
San Antonio, TX 78251
Phone (210) 798-8576

5917 Broadway
Ste 340
San Antonio, TX 78209

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

1901 Babcock Rd
Ste 304
San Antonio, TX 78229
Phone (210) 680-5033

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

Organizations & group practices 6

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639696669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401680",
            "telephone_number": "210-798-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bonham Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751544665",
            "country_code": "US",
            "telephone_number": "432-530-6765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MATTHEW",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1293395",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1293395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.