DR. ROGELIO JR. HERNANDEZ (DPT) – Physical Medicine & Rehabilitation Physician, NPI 1003155136

DR. ROGELIO JR. HERNANDEZ (DPT) is a healthcare provider. based in San diego, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 39405 (CA). The NPI Number for DR. ROGELIO JR. HERNANDEZ (DPT) is 1003155136

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROGELIO JR. HERNANDEZ (DPT)
NPI
1003155136
Phone
(619) 291-1959
Address
1764 SAN DIEGO AVE
Enumeration Date
9 February 2013
Last Update Date
9 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195736373
Graduation Year
2012 (14 years ago)
PAC ID
0244502946
Group Practice PAC ID
6800024720
Professional Enrollment ID
I20170815003457
Address ID
CA920193224EL860XXRDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. ROGELIO JR. HERNANDEZ (DPT)

  • 1764 SAN DIEGO AVE

    SUITE 100

    SAN DIEGO, CA 921101987

    Phone: (619) 291-1959

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170815003457IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800024720View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA

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Frequently asked questions

How do I look up DR. ROGELIO JR. HERNANDEZ (DPT) by NPI?
Use NPI 1003155136 when you need to reference DR. ROGELIO JR. HERNANDEZ (DPT) in forms, claims, or directories.
Is DR. ROGELIO JR. HERNANDEZ (DPT)'s NPI currently valid?
The extract we use shows DR. ROGELIO JR. HERNANDEZ (DPT) as active.
Can you summarize DR. ROGELIO JR. HERNANDEZ (DPT)'s specialty in plain language?
Clinically, the directory lists DR. ROGELIO JR. HERNANDEZ (DPT) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ROGELIO JR. HERNANDEZ (DPT)'s primary listing?
We display San Diego, California because that is what the record indicates for DR. ROGELIO JR. HERNANDEZ (DPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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