Active NPI
Diana Yvonne Mendez
- Orthopedic Physical Therapist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 1952 E Fort Union Blvd
Salt Lake City, UT 84121-6877 - Phone
- (801) 942-3311
- NPI assigned
- May 10, 2023
- Last updated
- May 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
1952 E Fort Union Blvd
Salt Lake City, UT 84121-6877
Mailing address
2457 S 300 E Apt 2
South Salt Lake, UT 84115-3263
Phone (310) 251-6378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Deep Valley Dr
Suite 200
Rolling Hills Estates, CA 90274-7608
Phone (310) 426-9570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tag Physical Therapy, Inc | Orthopedic | Current | Accepting new patients |
Locations
501 Deep Valley Dr
Ste 200
Rolling Hills Estates, CA 90274
Phone (310) 377-0710
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1306536511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2457 S 300 E APT 2",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153263",
"telephone_number": "310-251-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 E FORT UNION BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216877",
"telephone_number": "801-942-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "DIANA",
"middle_name": "YVONNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.