Jose Angel Hernandez Jr., OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

119769 Issued in TX

Practice address

4443 N Josey LN Ste 100
Carrollton, TX 75010-4677

Phone

(972) 394-8900

Fax

(972) 394-6266

NPI assigned

Jul 12, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1679125249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 N JOSEY LN STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104677",
            "telephone_number": "972-394-8900",
            "fax_number": "972-394-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry H Kim Dental Inc
• Michelle Parkin Hepworth, MAC, LMFTA
• Hermon Hope, Inc.
• Jose Hernandez-Alvarado, DDS
• Amy Hernandez, APRN-CNP
• Rosa Maria Herrera
• Victoria Herrera
• Nicole Herring, ATP
• Brandi Herzog, ATR, LPC-S
• Kathy Hess-Reneau, LPC

• Occupational Therapist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.