Individual ProviderTrevor HernandezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15315 Grove Cir N, Maple Grove, MN 55369-4475(952) 831-8742(952) 993-5900PECOS EnrollmentBased on the most recent information from CMS, provider Trevor Hernandez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1326900762Provider TypeIndividualFull NameHernandez, TrevorGenderMaleSole ProprietorNoEnumeration Date11/24/2025Last Updated11/24/2025Contact InformationPractice LocationPractice Address15315 Grove Cir N, Maple Grove, MN 55369-4475Phone(952) 831-8742FaxUnlisted FaxMailing LocationMailing Address8170 33rd Ave S, Bloomington, MN 55425-1614Phone(952) 993-5900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense14187Minnesota