Active NPI
Jose A Alba Hernandez, PT, DPT
- Physical Therapist
- Roseville, MN
National Provider Identifier
1689081697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9514
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9514 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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.