ADAN HERNANDEZ (PT) – Orthopedic Physical Therapist, NPI 1023977071

ADAN HERNANDEZ (PT) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6749 (NV). The NPI Number for ADAN HERNANDEZ (PT) is 1023977071

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
ADAN HERNANDEZ (PT)
NPI
1023977071
Phone
(702) 502-7159
Address
2275 N GATEWAY RD
Enumeration Date
16 January 2026
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023967100
Graduation Year
2025 (1 year ago)
PAC ID
5193207934
Group Practice PAC ID
7012980550
Professional Enrollment ID
I20260302003760
Address ID
NV890314412NO3870XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

880 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NV

Provider Addresses for ADAN HERNANDEZ (PT)

  • 2275 N GATEWAY RD

    LAS VEGAS, NV 891155327

    Phone: (702) 502-7159

    Type: Mailing

  • 3870 W ANN RD STE 110

    NORTH LAS VEGAS, NV 890314412

    Phone: (702) 396-7100

    Type: Location

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: 2026-03-02

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
I20260302003760IPhysical Therapist In Private PracticeNVTBD

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 89115)

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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: 7012980550View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeCA
-NV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

What NPI should I save for ADAN HERNANDEZ (PT)?
Save NPI 1023977071 if you need a stable reference for ADAN HERNANDEZ (PT).
Does this profile mean ADAN HERNANDEZ (PT) is currently active?
Yes — ADAN HERNANDEZ (PT) appears active in the national provider directory.
What field does ADAN HERNANDEZ (PT) work in?
You can think of ADAN HERNANDEZ (PT) as practicing within Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for ADAN HERNANDEZ (PT)?
We surface Las Vegas, Nevada for ADAN HERNANDEZ (PT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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