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Michele Hernandez , OT

Occupational Therapist โ€ข Crestview, FL

Active NPI 1891865242 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

728 N Ferdon Blvd
Crestview, FL 325362155

Call 8506827772 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

728 N Ferdon Blvd

Crestview, FL 325362155

Telephone 8506827772
Fax 8883081539
Organization at the Same NPPES Address or Phone
Womens Manual Physical Therapy Llc Facility NPI 1013221894

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Niceville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Womens Manual Physical Therapy Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

2001

Medicare patients

26 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $18,224 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $14,116 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michele Hernandez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Crestview and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Occupational Therapist in Florida (2024, 579 clinicians with data). Median for this group: 1,629. Middle half: 711 to 3,241.

Too few clinicians listed under Occupational Therapist in Crestview have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Occupational Therapist in Florida (2024, 579 clinicians with data). Median for this group: $42,248. Middle half: $18,264 to $86,488.

Too few clinicians listed under Occupational Therapist in Crestview have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Occupational Therapist in Florida (2024, 579 clinicians with data). Median for this group: $33,229. Middle half: $13,901 to $67,306.

Too few clinicians listed under Occupational Therapist in Crestview have Medicare Part B data for 2024 to compare.

21 active clinicians are listed under Occupational Therapist with a practice address in Crestview, FL (7,933 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Crestview

0% of these 21 clinicians have the CMS telehealth indicator.

19% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
342 26 $95.00 $30.40
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
294 26 $95.00 $22.01
97166 Evaluation for occupational therapy, typically 45 minutes
14 14 $200.00 $96.86

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-17
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20230818000156

Enrollment State Jurisdiction

FL

PECOS Control ID

6507228889

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Womens Manual Physical Therapy Llc

4554 E Hwy 20, Niceville, FL 325789755

Phone: 8508977772

Secondary Practice Locations

4554 E Highway 20

Niceville, FL 325789755

Phone: 8508977772

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Johanna Cary , PT

Physical Therapist

NPI 1205576121

Physical Therapist

Jane Denney , PT

Physical Therapist

NPI 1578763868

Physical Therapist

Dr. Elaine Dewey , DPT

Physical Therapist

NPI 1740928118

Doctor of Physical Therapy

Dr. Molly Gray , DPT

Physical Therapist

NPI 1346844610

Doctor of Physical Therapy

Ruth Jenkins

Physical Therapist

NPI 1275570525
Mercedes Luke , PT

Physical Therapist

NPI 1083088116

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location July 17, 2023

Registered at 728 N FERDON BLVD, CRESTVIEW, FL 325362155 (Tel: 8506827772)

๐Ÿ“
Updated Business Mailing Address July 17, 2023

Registered at PO BOX 1772, CRESTVIEW, FL 325367772 (Tel: 8506827772)

โœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 08, 2007

Registered at 353 FAIRMONT BLVD, RAPID CITY, SD 577017375 (Tel: 6057191100)

๐Ÿ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 3450, RAPID CITY, SD 577093450 (Tel: 6057191100)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MICHELE HERNANDEZ, OT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapist

๐ŸŸข
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891865242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 17, 2023
Sole Proprietor: No

Other Occupational Therapists in Crestview

Healthcare providers in Crestview

Mailing Address

Po Box 1772

Crestview, FL 325367772

Phone: 8506827772

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.