Healthcare Provider Details

I. General information

NPI: 1750298717
Provider Name (Legal Business Name): SOPHIA HERNANDEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 S POTOMAC ST STE 114
AURORA CO
80012-4529
US

IV. Provider business mailing address

9952 PRESERVE WAY
CONROE TX
77385-2226
US

V. Phone/Fax

Practice location:
  • Phone: 303-222-4312
  • Fax:
Mailing address:
  • Phone: 832-242-4574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1408889
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP061687T
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: