| Daniel Nathan Hernandez, PT, DPT, SCS | |
|
725 Alpine St Bldg 210, Mountain Home Afb, ID 83648-5405 | |
| (254) 699-3933 | |
| Not Available |
| Full Name | Daniel Nathan Hernandez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 725 Alpine St Bldg 210, Mountain Home Afb, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750973616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | 1571196 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Physical Therapy Inc Ps | 6305747643 | 41 |
| Provider Name | Columbia Physical Therapy Inc Ps |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457397531 PECOS PAC ID: 6305747643 Enrollment ID: O20040119000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Nathan Hernandez, PT, DPT, SCS 133 Magnolia Ave Se, Fort Walton Beach, FL 32548-7266 Ph: (850) 739-4936 | Daniel Nathan Hernandez, PT, DPT, SCS 725 Alpine St Bldg 210, Mountain Home Afb, ID 83648-5405 Ph: (254) 699-3933 |
Mrs. Aspen Claire Guthrie, DSC, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-2175 | |
Dr. Chad Luckett Crossley, PT, DPT, MS, OCS, AT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 412-432-3700 | |
Teagan Ferguson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-4626 | |
Joseph Richard Perry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7900 |