MARY IRENE HERNANDEZ (NPI# 1174517528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174517528 |
| Entity Type | Individual |
| Full Name | MARY IRENE HERNANDEZ |
| Credential | MPT, CWS |
| Practice Address |
1900 Woodland Dr Coos Bay OR 97420 |
| Practice Telephone | 5412675151 |
| Practice Fax Number | 5412672233 |
| Mailing Telephone | 5412675151 |
| Mailing Fax Number | 5412674843 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 3749 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE GROUP NPI NUMBER | 1407812365 | 01 |
| OR | MEDICARE GROUP PIN NUMBER | R0000WFBTV | 01 |
| OR | TRAV RR GROUP PTAN NUMBER | CB3544 | 01 |
| OR | 297645 | 05 | |
| OR | TRAV RR PTAN NUMBER | P00317115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255864625 | Mary Hernandez | Technician, Other | 3106 10th St, Wichita Falls, TX 76309-2104 | 2017-04-04 |
| 1588083349 | Mary Hernandez | Nutritionist | 4 University Pl, Staten Island, NY 10301-3423 | 2014-04-09 |
| 1952728867 | Mary Victoria Hernandez | Physician Assistant | 8610 Martin Luther King Blvd, Houston, TX 77033-2308 | 2014-03-28 |
| 1821569419 | Mary Ann Hernandez | Behavioral Analyst | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2018-12-08 |
| 1417424607 | Mary Anne Hernandez | Developmental Therapist | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2018-10-26 |
| 1548358724 | Mary A. Hernandez | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-11 |
| Street Address |
1900 WOODLAND DR |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189009 | Sandy Lynn Teeter | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2020-03-16 |
| 1114564630 | Mitaliben Rajendrakumar Gor | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-12-03 |
| 1568014942 | Nikkona Henderson | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2019-07-15 |
| 1861050189 | James Murray | Dermatology | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-06-01 |
| 1346803640 | Sophia Elizabeth Massey | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-04-22 |
| 1750857090 | Alaina Therese Hendrix | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-10-14 |
| 1801382155 | Yulia Viktorovna Whidden | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-07-10 |
| 1124525043 | Samantha Decker | Dermatology | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-04-07 |
| 1043712383 | Gregory Sopka | Physician Assistant | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2018-03-02 |
| 1477052470 | Magdalene Clare Shaughnessy | Physician Assistant | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| 1265607295 | Maria Socorro Miel Smith | Physical Therapist | 2645 N 17th St, Coos Bay, OR 97420-2134 | 2008-04-30 |
| 1841336203 | Mark Albert | Physical Therapist | 1957 Thompson Rd., Coos Bay, OR 97420-2031 | 2007-01-30 |
| 1720158546 | Barbara C Haines | Physical Therapist | 1775 Thompson Ave, Coos Bay, OR 97420-8780 | 2006-11-09 |
| 1386679785 | Scot Allen Embry | Physical Therapist | 1740 Thompson Rd, Coos Bay, OR 97420-2151 | 2006-07-12 |
| 1427091487 | John Soukup | Physical Therapist | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2006-06-14 |
| 1831174812 | Troy Alan Cribbins | Physical Therapist | 410 Date Avenue, Access Rehabilitation, Coos Bay, OR 97420 | 2005-12-13 |
| 1497277685 | Denise E Semrau | Physical Therapist | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2017-07-10 |
| 1417402934 | Amanda Rose Watroba | Physical Therapist | 2645 N 17th St, Coos Bay, OR 97420-2134 | 2016-08-25 |
| 1851742761 | Ashley Mortensen | Physical Therapist | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2016-06-22 |
| Find all providers in COOS BAY | ||||
Please comment or provide details below to improve the information on MARY IRENE HERNANDEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.