Active NPI
Jemi Arlegui Mendoza, PT
- Physical Therapist
- Gastonia, NC
National Provider Identifier
1124065370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18332
- Practice address
- 1680 S New Hope Rd
Gastonia, NC 28054-5854 - Phone
- (704) 864-0801
- Fax
- (704) 864-1860
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18332 | CA | Primary |
Addresses
Primary practice location
1680 S New Hope Rd
Gastonia, NC 28054-5854
Mailing address
1680 S New Hope Rd
Gastonia, NC 28054-5854
Phone (704) 864-0801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10948 | Other | NC | PT LICENSE |
| 1171839 | Other | TX | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18332 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Pacific Rehabilitation Services, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lancaster, CA
- NPI 1447205828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1124065370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 S NEW HOPE RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545854",
"telephone_number": "704-864-0801",
"fax_number": "704-864-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 S NEW HOPE RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545854",
"telephone_number": "704-864-0801",
"fax_number": "704-864-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JEMI",
"middle_name": "ARLEGUI",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT18332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "10948",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1171839",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.