National Provider Identifier

Jonathan Hernandez, PT, DPT, ATC, CSCS

Jonathan Hernandez, PT, DPT, ATC, CSCS is listed in the NPPES registry with a primary specialty of Physical Therapist in Orchard Park, NY and a listed phone number of (716) 312-8527.

NPI 1427465988Orchard Park, NYPhysical Therapist

Profile Overview

NPI
1427465988
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 16, 2014
Last Updated
July 16, 2014

Practice Location

  • 1 Bills Dr
  • Orchard Park, NY 14127-2237

Phone: (716) 312-8527

Mailing Address

  • 282 Wedgewood Dr
  • Paramus, NJ 07652-3319

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1427465988
Entity Type
Individual
Last Name
Hernandez
First Name
Jonathan
Credential
PT, DPT, ATC, CSCS
Mailing Street Address
282 Wedgewood Dr
Mailing City
Paramus
Mailing State
NJ
Mailing ZIP Code
07652-3319
Mailing Country
US
Practice Street Address
1 Bills Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2237
Practice Country
US
Practice Phone
(716) 312-8527
Enumeration Date
July 16, 2014
Last Updated
July 16, 2014
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)