Individual provider Active NPI

Jason Hernandez, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1932453321
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1224336 Issued in TX
Practice address
9160 Guilbeau Rd
San Antonio, TX 78250-3080
Phone
(210) 764-3600
Fax
(210) 764-3150
NPI assigned
Nov 6, 2012
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1224336 TX
Physical Therapist 225100000X 1224336 TX Primary

Addresses

Primary practice location

9160 Guilbeau Rd
San Antonio, TX 78250-3080

Mailing address

8335 Agora Pkwy Ste 100
Selma, TX 78154-1383
Phone (210) 658-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130122000057 TX Practitioner - Physical Therapist in Private Practice 1658524814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1224336TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Oct 31, 2012 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Oct 31, 2012 Accepting new patients

Locations

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

9160 Guilbeau Rd
San Antonio, TX 78250
Phone (210) 764-3600

8335 Agora Pkwy
Ste 100
Selma, TX 78154
Phone (210) 658-8483

Interoperability endpoints

  • Direct secure messaging: jason.hernandez@546238333255684.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1932453321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 AGORA PKWY STE 100",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541383",
            "telephone_number": "210-658-8483",
            "fax_number": "210-658-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 GUILBEAU RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503080",
            "telephone_number": "210-764-3600",
            "fax_number": "210-764-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1224336",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1224336",
            "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 May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.