Marisol Cardoza Mendoza, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4157 Issued in ID

Practice address

840 SW 4TH Ave
Ontario, OR 97914-2627

Phone

(541) 881-7330

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marisol Cardoza Salinas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sol Physiotherapy LLC

  • Orthopedic Physical Therapist
  • Fruitland, ID
  • NPI 1235750746
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1164899001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SE 4TH AVE",
            "city": "NEW PLYMOUTH",
            "state": "ID",
            "postal_code": "836555447",
            "telephone_number": "971-409-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142627",
            "telephone_number": "541-881-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 SE 4th Ave",
            "address_purpose": "LOCATION",
            "city": "New Plymouth",
            "state": "ID",
            "postal_code": "836555447",
            "country_code": "US",
            "telephone_number": "971-409-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARISOL",
        "middle_name": "CARDOZA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "CARDOZA SALINAS",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlyn McLean
• Greggory Bryan McVicker
• Colin Todd Meeks
• Dayne Mekkam
• Brianna Noel Mendoza
• Nancy Jean Menges
• Leyla Susana Menjivar, CADC
• Donna Messersmith, APRNBC, CWCN
• Michael Mass Chiropractic, Inc
• Lysa R Miley

• Physical Therapist in Ontario, OR
• Providers in Ontario, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.