Individual provider Active NPI

Margarita Hernandez, DPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1962040998
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294429 Issued in CA
Practice address
1221 Farmers LN Ste B
Santa Rosa, CA 95405-6712
Phone
(707) 578-7176
Fax
(707) 578-4220
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PC 162 clinicians

Practice addresses (Care Compare)

1221 Farmers LN
Suite B
Santa Rosa, CA 95405-6712
Phone (707) 578-7176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327000855 CA Practitioner - Physical Therapist in Private Practice 1759710635 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT294429CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC CurrentSince Sep 30, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Sep 30, 2025 Accepting new patients
Carnahan Therapy/the Work Center, Inc. Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
Evolve Restorative Center CurrentSince Sep 1, 2024 Accepting new patients
Carnahan Therapy the Work Center, Inc. PastSince Aug 7, 2023 Accepting new patients

Locations

805 E Walnut Ave
Lompoc, CA 93436
Phone (805) 735-3714

191 Lynch Creek Way
Ste 101
Petaluma, CA 94954
Phone (707) 968-7295

1331 Medical Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 584-3433

1221 Farmers Ln
Ste B
Santa Rosa, CA 95405
Phone (707) 578-7176

220 Concourse Blvd
Santa Rosa, CA 95403
Phone (844) 527-7369

181 Andrieux St
Ste 107
Sonoma, CA 95476
Phone (707) 938-1040

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT294429 CA Primary

Addresses

Primary practice location

1221 Farmers LN Ste B
Santa Rosa, CA 95405-6712

Mailing address

1221 Farmers LN
Santa Rosa, CA 95405-6765
Phone (707) 578-7176

Other practice location 1

220 Concourse Blvd
Santa Rosa, CA 95403-8210
Phone (844) 527-7369

Other identifiers 1

IdentifierTypeStateIssuer
PT294429OtherCAPT LICENCE

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1962040998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 FARMERS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056765",
            "telephone_number": "707-578-7176",
            "fax_number": "707-578-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FARMERS LN STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056712",
            "telephone_number": "707-578-7176",
            "fax_number": "707-578-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Concourse Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954038210",
            "country_code": "US",
            "telephone_number": "844-527-7369",
            "fax_number": "844-847-4943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARGARITA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENCE",
            "identifier": "PT294429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.