Edna Marie Fernandez-Hansen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1760 Issued in OK

Practice address

10944 NW Expressway Ste a
Yukon, OK 73099-8214

Phone

(405) 373-3122

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edna Marie Fernandez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1861027856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10944 NW EXPRESSWAY STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998214",
            "telephone_number": "405-373-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10944 NW EXPRESSWAY STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998214",
            "telephone_number": "405-373-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 N Shartel Ave Ste 801",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731032425",
            "country_code": "US",
            "telephone_number": "405-702-6674",
            "fax_number": "405-702-6675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-HANSEN",
        "first_name": "EDNA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1760",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDNA",
            "last_name": "FERNANDEZ",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alaysha Kylee Jean Faubion
• Sirena Fazio
• Nicole Fees, PHARMD
• Amanda Lynn Fenno
• Megan Ferguson Garcia, LCSW
• Amy Kathleen Ferrell, FNP-C
• Riley N Fesler
• Joseph John Fidelie, A.T.,C
• Amanda Fields, COTA
• Francesca Alejandrina Fincher

• Physical Therapist in Yukon, OK
• Providers in Yukon, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.