Maria Mendoza Dimanlig, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22030 Issued in NC

Practice address

411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066

Phone

(704) 577-3186

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maria Alexandra Jochico Mendoza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1306464730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 JORDAN PL APT 100-B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111066",
            "telephone_number": "704-577-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMANLIG",
        "first_name": "MARIA",
        "middle_name": "MENDOZA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35688",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ALEXANDRA",
            "last_name": "MENDOZA",
            "middle_name": "JOCHICO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Joaquin Cuevas Dimanlig
• Kasondra Mae Dimarzo
• Ashley Nichole Dimeglio, M.A., BCBA
• Dimensions Home Care LLC
• Dimensions of Wellness LLC
• Dimensions Total Care LLC

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.