Michele Hernandez, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

728 N Ferdon Blvd
Crestview, FL 32536-2155

Phone

(850) 682-7772

Fax

(888) 308-1539

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Manual Physical Therapy LLCGroup PAC ID 2365566767, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Womens Manual Physical Therapy LLC

  • Physical Therapist
  • Crestview, FL
  • NPI 1013221894
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1891865242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1772",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325367772",
            "telephone_number": "850-682-7772",
            "fax_number": "888-308-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362155",
            "telephone_number": "850-682-7772",
            "fax_number": "888-308-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4554 E Highway 20",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325789755",
            "country_code": "US",
            "telephone_number": "850-897-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHELE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Henderson, PHARM.D.
• Chase Douglas Henderson, M.D.
• Shelby Taylor Hensley
• David Allen Herf, MD
• Wendy Hernandez Rodriguez, DMD
• Casey Marie Herrera, RBT, COTA
• Guinevere Crystal Herrin, RBT
• Tiffany Herrmann, DMD
• Charles Eugene Hewett III, ATC, LAT
• Deborah Lynne Hewitt, APRN

• Occupational Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.