Mary Mae B Fernandez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23008 Issued in FL

Practice address

7350 Sandlake Commons Blvd
Suite 2212
Orlando, FL 32819-8040

Phone

(401) 363-9668

Fax

(407) 970-0924

NPI assigned

Jul 10, 2007

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

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1992903009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 CUMBERLAND PARK DR",
            "address_2": "8104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328215426",
            "telephone_number": "321-442-4388",
            "fax_number": "407-970-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 2212",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198040",
            "telephone_number": "401-363-9668",
            "fax_number": "407-970-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARY MAE",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Fernandez
• Laureano Fernandez Jr., RN
• Luis Fernandez
• Marlene Fernandez, PA-C, MPAS
• Marlene Fernandez, DO
• Miguel Jacobo Fernandez, MD
• Mildred Milagros Fernandez, MA FL-CBA
• Paulette Fernandez, APRN
• Shujen T Fernandez, ARNP-C, CCRN
• Tiffany Fernandez

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.