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

Victor Hernandez

Individual provider Physical Therapist · NPI 1508647694

Victor Hernandez is a Physical Therapist in Private Practice in Old Greenwich, Connecticut. Qualified in 2023, 3 years ago. Practices with Ivyrehab Connecticut Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
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Practice location Address checks out

1455 E Putnam Ave Ste 2
Old Greenwich, CT 06870-1360
Phone: (203) 817-0196
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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 051842 (CT)

Record details

NPI number1508647694
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2023
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address392 Irving Ave, Port Chester, NY 10573-3052

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ivyrehab Connecticut Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Old Greenwich