Individual provider Active NPI

Antonio Hernandez, MSPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1801065826
Registry record updated Oct 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1167090 Issued in TX
Practice address
1123 N Main Ave Ste 100
San Antonio, TX 78212-4739
Phone
(210) 822-6323
NPI assigned
Feb 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2008

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 1167090 TX Primary

Addresses

Primary practice location

1123 N Main Ave Ste 100
San Antonio, TX 78212-4739

Mailing address

1123 N Main Ave Ste 100
San Antonio, TX 78212-4739
Phone (210) 822-6323

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Vista Healthcare Center Physical Therapist Past Accepting new patients
Alta Vista Healthcare, LP Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1203811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224979200000",
    "number": "1801065826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N MAIN AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124739",
            "telephone_number": "210-822-6323",
            "fax_number": "210-572-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N MAIN AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124739",
            "telephone_number": "210-822-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTONIO",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-24",
        "last_updated": "2008-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1167090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2008; 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.