Individual provider · Type 1 NPI
Daniel Nathan Hernandez, PT, DPT, SCS
Sports Physical Therapist · Mountain Home Afb, ID
Practice location
725 Alpine St Bldg 210
Mountain Home Afb, ID 83648-5405
Mailing address
133 Magnolia Ave SE
Fort Walton Beach, FL 32548-7266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physical Therapist Primary | 2251S0007X | 1571196 (ID) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
About NPI 1750973616
Daniel Nathan Hernandez, PT, DPT, SCS's National Provider Identifier is 1750973616, issued on Feb 10, 2021. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Mountain Home Afb, ID. The record was last updated on Jan 29, 2026.