Keiko Fernandez, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

25823 Issued in FL

Practice address

1800 SW 1St Ave Ste 502
Miami, FL 33129-1181

Phone

(786) 399-4453

Fax

(888) 368-4883

NPI assigned

Jan 28, 2009

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1699913673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 1ST AVE STE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291181",
            "telephone_number": "786-399-4453",
            "fax_number": "888-368-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 1ST AVE STE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291181",
            "telephone_number": "786-399-4453",
            "fax_number": "888-368-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KEIKO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029175",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "25823",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "029175",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "25823",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "029175",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "25823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LISENCE",
            "identifier": "F655500817220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan H Fernandez, MA
• Juan Miguel Fernandez, M.D.
• Julissa Maria Fernandez
• Junior J Fernandez, D.M.D
• Katherine Fernandez, RBT-24-394362
• Keven Bryan Fernandez, PTA
• Kevin Fernandez, DPT
• Laura Fernandez
• Laura Fernandez
• Laysa Fernandez, ATC

• Pediatric Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Physical Therapist in Florida

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