Ezekial Cruz Mendenhall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9253802-2401 Issued in UT

Practice address

680 E Main St Ste 101
Lehi, UT 84043-2251

Phone

(801) 768-2723

Fax

(801) 768-2725

NPI assigned

Jun 17, 2015

Last updated

Jan 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Physical Therapy and Sports Medicine

  • Physical Therapist
  • Lehi, UT
  • NPI 1255440442
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1245611987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ADAMS ST",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109621",
            "telephone_number": "307-885-5811",
            "fax_number": "307-885-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST STE 101",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432251",
            "telephone_number": "801-768-2723",
            "fax_number": "801-768-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "EZEKIAL",
        "middle_name": "CRUZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9253802-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medallion Supported Living
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• Jason Meigs, DO
• Mah Mekolle
• Beckett Melver
• Connor Mendez, RBT
• Elisa Nataly Mendoza
• Ashley Marie Meng
• Mercy Air Service, Inc. (Air Life Utah)
• Meridian Meds, LLC

• Physical Therapist in Lehi, UT
• Providers in Lehi, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.