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KELLI HERNANDEZ
NPI 1912419045
Physical Therapist - Pediatrics in Addison, TX

Active since October 30, 2017
15820 ADDISON RD, ADDISON, TX 75001(866) 919-3240 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelli Hernandez NPPES

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

KELLI HERNANDEZ (NPI 1912419045) is an individual pediatrics provider in Addison, Texas and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1912419045
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKELLI HERNANDEZ
Location Address15820 ADDISON RDAddison, TX 75001-3549
Mailing Address902 Waterside DrEuless, TX 76039-2178
Phone(866) 919-3240
Sole ProprietorNo
Enumeration DateOctober 30, 2017
✔ NPI 1912419045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
15820 ADDISON RD, Addison, TX 75001
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Kelli Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

The Therapy Center Of Hendersonville
626 mi
Physical Therapist
139 MAPLE ROW BLVD, SUITE 202
Hendersonville, TN 37075
  • Reassigned Medicare billing, Tennessee enrollment
  • 10 clinicians in this Medicare group
NPI 1326385444 (615) 826-7113

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON AMBER KALLSEN M.S.
Speech-Language Pathologist
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (866) 919-3240
ANNA CECELIA BELOU
Occupational Therapist
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (866) 919-3240
ELIZABETH GRIGEREK SLP
Speech-Language Pathologist
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (866) 919-3240
JESSICA ALVARADO BARRIOS
Physical Therapist
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (214) 575-2999
BRANDI SAUCEDO
Specialist/Technologist (Speech-Language Assistant)
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (818) 919-3240
MS. EMILY PAIGE WILSON M.S., CCC-SLP
Speech-Language Pathologist
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (866) 919-3240
ALYSSA RENEE' AQUINO SLPA
Specialist/Technologist (Speech-Language Assistant)
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (214) 575-2999
MISS LAUREN KAITLYNN PYBUS
Speech-Language Pathologist
15820 ADDISON RD
ADDISON, TX 75001
Dallas County (866) 919-3240

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 Kelli Hernandez's NPI number?

The NPI number for Kelli Hernandez is 1912419045. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Kelli Hernandez located?

Kelli Hernandez practices at 15820 Addison Rd, Addison, TX 75001. The listed phone number is (866) 919-3240.

What is Kelli Hernandez's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Kelli Hernandez enrolled in Medicare?

Yes. Kelli Hernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Hernandez reassigns Medicare benefits to The Therapy Center Of Hendersonville (Hendersonville, TN). 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 Kelli Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Hernandez accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kelli Hernandez 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 Kelli Hernandez was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.