Edwin Hernandez, DPT
NPI 1407680655 · Physical Therapist · Toms River, NJ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edwin Hernandez, DPT is a Physical Therapist provider in Toms River, NJ (NPI 1407680655).
Provider details
- NPI number
- 1407680655
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QA02284900 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
1 yr in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
340 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 104 | $35 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 88 | $23 |
| Therapy Procedure in a Group Setting97150 | 63 | $15 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 47 | $29 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 38 | $22 |
Typical Medicare-allowed amounts for these services range $15–$35 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Edwin Hernandez's NPI number?
- Edwin Hernandez's National Provider Identifier (NPI) is 1407680655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edwin Hernandez's specialty?
- Edwin Hernandez is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Edwin Hernandez located?
- Edwin Hernandez's practice location on file with NPPES is 1430 Hooper Ave, Toms River, NJ 08753.
- What is Edwin Hernandez's phone number?
- The practice phone number listed in the NPPES registry for Edwin Hernandez is (732) 490-2798.
- Does Edwin Hernandez accept Medicare?
- Edwin Hernandez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edwin Hernandez's NPI active?
- Yes — Edwin Hernandez's NPI (1407680655) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.