Sergio O Hernandez, PT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03810 Issued in GA

Practice address

3985 Steve Reynolds Blvd
BLDG G.
Norcross, GA 30093-3035

Phone

(770) 622-2532

Fax

(770) 622-2534

NPI assigned

Dec 5, 2006

Sex

Male

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 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1952469207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD",
            "address_2": "BLDG G.",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933035",
            "telephone_number": "770-622-2532",
            "fax_number": "770-622-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD",
            "address_2": "BLDG G.",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933035",
            "telephone_number": "770-622-2532",
            "fax_number": "770-622-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SERGIO",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "PT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "03810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00811148C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00811148E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Denney Henderson, FNP-BC
• Alyssa Marie Henriksen, B.S., BT
• Jasmine Deidre Henry, NP
• Carlos Fernando Hernandez, M.D.
• Hector Hernandez, FNP-C
• Yessica Hernandez, PA-C
• Brandi Herr-Norris
• Linda Schwager Herring, LPC
• Erin Hershman
• Rachel Annette Herzwurm

• Physical Therapist in Norcross, GA
• Providers in Norcross, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.