Individual provider Active NPI

Jose A Alba Hernandez, PT, DPT

  • Physical Therapist
  • Roseville, MN
National Provider Identifier
1689081697
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9514 Issued in MN
Practice address
3050 Centre Pointe Dr Ste 200
Roseville, MN 55113-1179
Phone
(651) 631-4242
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9514 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

3050 Centre Pointe Dr Ste 200
Roseville, MN 55113-1179

Mailing address

3050 Centre Pointe Dr Ste 200
Roseville, MN 55113-1179

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2014.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1689081697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CENTRE POINTE DR STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CENTRE POINTE DR STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131179",
            "telephone_number": "651-631-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBA HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.