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

Mr. Elvis Antonio Hernandez, OTR/L

Individual provider Occupational Therapist · NPI 1720433733

Mr. Elvis Antonio Hernandez, OTR/L is an Occupational Therapist in Private Practice in Astoria, New York. Qualified in 2015, 11 years ago. Practices with Spear Physical and Occupational Therapy, LLC, a 577-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2529 Broadway
Astoria, NY 11106-3413
Phone: (301) 433-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 07917 (MD)

Record details

NPI number1720433733
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedApril 27, 2016
Last updated in NPPESMarch 16, 2025
Certification dateMarch 16, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Spear Physical And Occupational Therapy, Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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