Modesto Hernandez III, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1159458 Issued in TX

Practice address

1400 N Westgate Dr Ste 203
Weslaco, TX 78596-3996

Phone

(956) 565-2929

Fax

(956) 565-6939

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Benchmark Therapeutics, LLC

  • Physical Therapy Clinic/Center
  • Weslaco, TX
  • NPI 1891823480
  Medicare reassignment NPD
• Hernandez Therapeutics LLC

  • Physical Therapy Clinic/Center
  • Weslaco, TX
  • NPI 1891979266
  NPD (past) Authorized official

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851377063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1724",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785991724",
            "telephone_number": "956-532-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WESTGATE DR STE 203",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785963996",
            "telephone_number": "956-565-2929",
            "fax_number": "956-565-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MODESTO",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1159458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T6944",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Maria Hernandez
• Arturo Hernandez, LPC
• Claudia Hernandez, D.D.S, M.S.D
• Imelda Hernandez, SLPA
• Maricela Hernandez, APRN-CNP
• Sandy Hernandez, PA-C
• Heroes Weslaco PLLC
• Herrera Research Institute LLC
• Jaime Joshua Herrera, DPT
• Linda Herrera, FNP

• Orthopedic Physical Therapist in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.