Individual provider Active NPI

Matthew Paul Hernandez, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1750732251
Registry record updated Jun 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039811-1 Issued in NY
Practice address
5 Seaman Ave
5F
New York, NY 10034-2963
Phone
(626) 383-4065
NPI assigned
Jun 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039811-1 NY Primary

Addresses

Primary practice location

5 Seaman Ave
5F
New York, NY 10034-2963

Mailing address

5 Seaman Ave
5F
New York, NY 10034-2963
Phone (626) 383-4065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626002307 CA Practitioner - Physical Therapist in Private Practice 7517312457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reekstin Enterprises Inc.Group PAC ID 3678603586, 13 clinicians
Core Total Body Physical Therapy PCGroup PAC ID 3678842663, 12 clinicians

Practice addresses (Care Compare)

1027 N Harbor Blvd
Suite B
Fullerton, CA 92832-1362
Phone (714) 870-8478

120 S Chaparral CT
Suite 150
Anaheim, CA 92808-2278
Phone (714) 998-9580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039811-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Total Body Physical Therapy, P.C. Physical Therapist CurrentSince Aug 8, 2024 Accepting new patients
Reekstin Enterprises Inc. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince May 29, 2024 Accepting new patients
Betiku & Hernandez Physical Therapy PLLC Physical Therapist PastSince Aug 6, 2023 Accepting new patients

Locations

120 S Chaparral Ct
Ste 150
Anaheim, CA 92808
Phone (714) 998-9580

1027 N Harbor Blvd
Ste B
Fullerton, CA 92832
Phone (714) 870-8478

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

1026 E Chapman Ave
Ste B
Orange, CA 92866
Phone (714) 538-1952

41278 Margarita Rd
Ste 102
Temecula, CA 92591
Phone (951) 587-8105

Organizations & group practices 4

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": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1750732251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEAMAN AVE",
            "address_2": "5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342963",
            "telephone_number": "626-383-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEAMAN AVE",
            "address_2": "5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342963",
            "telephone_number": "626-383-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039811-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; 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.