DANIEL NATHAN HERNANDEZ (PT, DPT, SCS) – Sports Physical Therapist, NPI 1750973616
Sports Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DANIEL NATHAN HERNANDEZ (PT, DPT, SCS)
133 MAGNOLIA AVE SE
FORT WALTON BEACH, FL 325487266
Phone: (850) 739-4936
Type: Mailing
725 ALPINE ST BLDG 210
MOUNTAIN HOME AFB, ID 836485405
Phone: (254) 699-3933
Type: Location
1103 SWANFLOWER LN UNIT B
TEMPLE, TX 765024906
Phone: (702) 373-1507
Type: Mailing
5302 JANELLE DR
KILLEEN, TX 765495666
Phone: (254) 699-3933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2021-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210823002113 | I | Physical Therapist In Private Practice | WA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 622 | 19 | $0 |
| 97530 | Therapy procedure using functional activities | 608 | 25 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 501 | 24 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 420 | 24 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 32548)
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