Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Hernandez, PT

Individual provider Physical Therapist · NPI 1891886438

Ivan Hernandez, PT is a Physical Therapist in Private Practice in Yonkers, New York. Qualified in 2001, 25 years ago. Practices with Executive Park Orthopedic and Sports Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1034 N Broadway
Yonkers, NY 10701-1303
Phone: (914) 509-4640
Fax: (914) 509-4639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 023806 (NY)

Record details

NPI number1891886438
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Executive Park Orthopedic And Sports Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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