Elliot Hernandez, PT, DPT | |
6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469-3670 | |
(910) 579-3900 | |
Not Available |
Full Name | Elliot Hernandez |
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Gender | Male |
Speciality | Physical Therapist |
Location | 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306523428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11885 (South Carolina) | Secondary |
225100000X | Physical Therapist | P22361 (North Carolina) | Primary |
Provider Name | Cumberland County Hospital System Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
Provider Name | Ivyrehab North Carolina Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822 |
Mailing Address | Practice Location Address |
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Elliot Hernandez, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Elliot Hernandez, PT, DPT 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469-3670 Ph: (910) 579-3900 |
Anjani Di Bello, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469 Phone: 910-579-3900 | |
Robert Murphy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469 Phone: 910-579-3900 | |
Daniel James Mines, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469 Phone: 910-579-3900 Fax: 910-579-3905 | |
Corey Shelton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469 Phone: 910-579-3900 Fax: 910-579-3905 |