Active NPI
Kristelle Jemimah Mendoza Alarcon
- Physical Therapist
- Astoria, NY
National Provider Identifier
1295534162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053527
- Practice address
- 25-21 49TH St, Long Island City
Astoria, NY 11103 - Phone
- (347) 829-3890
- Fax
- (347) 829-3888
- NPI assigned
- Mar 12, 2025
- 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 | 053527 | NY | Primary |
Addresses
Primary practice location
25-21 49TH St, Long Island City
Astoria, NY 11103
Mailing address
18427 Studebaker Rd Apt 158
Cerritos, CA 90703
Phone (805) 953-5965
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 |
|---|---|---|---|
| 053527 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Care PT PC | 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 Medicine & Rehabilitation Physician
- Richmond Hill, NY
- NPI 1295449049
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1295534162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18427 STUDEBAKER RD APT 158",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "805-953-5965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25-21 49TH ST, LONG ISLAND CITY",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11103",
"telephone_number": "347-829-3890",
"fax_number": "347-829-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA ALARCON",
"first_name": "KRISTELLE",
"middle_name": "JEMIMAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.