Tatiana Isabel Hernandez, PT
Individual provider Active NPI Physical Therapist · Pinecrest, FL
NPI 1821812439 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1821812439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT42363 (FL)
- Practice address
- 13101 S Dixie Hwy Ste 330
Pinecrest, FL 33156-6530 - Phone
- (786) 732-7438
- Fax
- (786) 732-7484
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Pinecrest PT-South LLC
Denver Physical Therapy, P.C.
Practice addresses (Care Compare)
13101 S Dixie Hwy
Suite 330
Miami, FL 33156-6530
Phone (786) 732-7438
24300 E Smoky Hill Rd
Unit 126
Aurora, CO 80016-1387
Phone (303) 680-1772
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114004483 | FL | Practitioner - Physical Therapist in Private Practice | 6406380211 | Reassigns benefits to 2 organizations |
| I20251110000934 | CO | Practitioner - Physical Therapist in Private Practice | 6406380211 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0019495 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinecrest PT-South L.L.C. | Physical Therapist | Current |
Accepting new patients |
| Pinecrest Physical Therapy LLC | Current |
Accepting new patients | |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Physical Therapist | Current |
Accepting new patients |
| Denver Physical Therapy, P.C. | Physical Therapist | Current |
Accepting new patients |
| Denver Physical Therapy, P.C. | Past | Accepting new patients | |
| Denver Physical Therapy, P.C. | Past | Accepting new patients |
Locations
24300 E Smoky Hill Rd
Unit 126
Aurora, CO 80016
Phone (303) 680-1772
2260 S Xanadu Way
Ste 245
Aurora, CO 80014
Phone (303) 755-8826
13101 S Dixie Hwy
Ste 330
Pinecrest, FL 33156
Phone (786) 732-7438
8935 S Dixie Hwy
Pinecrest, FL 33156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT42363 | FL | Yes |
Addresses
Primary practice location
13101 S Dixie Hwy Ste 330
Pinecrest, FL 33156-6530
Mailing address
11625 SW 97TH CT
Miami, FL 33176-4102
Phone (305) 746-2574
Other practice location 1
8935 S Dixie Hwy
Pinecrest, FL 33156-1619
Phone (305) 722-0568
Other providers in Pinecrest, FL
- Curtis Andrew Hamburg
- Healing Manes Therapy and Counseling LLC
- Luis Hernandez Rosado
- Samantha Hernandez
- Sofia Hernandez
- Cynthia Herrera
- Cindy Olivia Hill
- Holiday CVS LLC
- Holiday CVS LLC
- Holistic Healing and Counseling Services, LLC
All providers in Pinecrest, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.