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LEO FERNANDEZ
NPI 1346779774
Physical Therapist in Milford, DE

Active since June 08, 2017Accepts Medicare Assignment
300 HALL PLACE, MILFORD, DE 19963(302) 396-0473 Get Directions Write a Review

NPPES record last updated: July 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2021, Jun 8, 2017 (2 updates tracked since 2017).

About Leo Fernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEO FERNANDEZ (NPI 1346779774) is an individual physical therapist in Milford, Delaware, licensed in Delaware (J1-0002543) and active in the NPI registry since June 2017. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1346779774
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameLEO FERNANDEZ
Location Address300 HALL PLACEMilford, DE 19963
Mailing Address300 Hall PlMilford, DE 19963-1809
Phone(302) 396-0473
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 10, 20212 updates tracked since enumeration
NPPES CertifiedJuly 10, 2021
✔ NPI 1346779774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in DE · J1-0002543
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
300 HALL PLACE, Milford, DE 19963
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Other Identifiers 1

OtherJ1-0002543DE · Pt License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leo Fernandez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628471398
PECOS Enrollment IDI20210720000757

Medicare Billing Reassignment

Medicare enrollment records show Leo Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mabcf LLC
13 mi
Physical Therapy
5502 S DUPONT HWY
Dover, DE 19901
  • Reassigned Medicare billing, Delaware enrollment
  • 7 clinicians in this Medicare group
NPI 1538705488 (302) 725-5116

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
2,980 services98 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
1,627 services92 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,099 services67 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,042 services68 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
327 services27 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
97 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19963 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leo Fernandez's NPI number?

The NPI number for Leo Fernandez is 1346779774. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Leo Fernandez located?

Leo Fernandez practices at 300 Hall Place, Milford, DE 19963. The listed phone number is (302) 396-0473.

What is Leo Fernandez's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Leo Fernandez enrolled in Medicare?

Yes. Leo Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leo Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leo Fernandez reassigns Medicare benefits to Mabcf LLC (Dover, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leo Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leo Fernandez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Leo Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leo Fernandez was last updated on July 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.