Individual provider Active NPI

Rebecca Mendoza, MPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1306977152
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012425 Issued in IL
Practice address
2732 N Lincoln Ave
Chicago, IL 60614-7431
Phone
(312) 235-6773
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012425 IL Primary

Addresses

Primary practice location

2732 N Lincoln Ave
Chicago, IL 60614-7431

Mailing address

2732 N Lincoln Ave
Chicago, IL 60614-7431
Phone (312) 733-4134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000106 IL Practitioner - Physical Therapist in Private Practice 7416033469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite HealthcareGroup PAC ID 3072567114, 3 clinicians

Practice addresses (Care Compare)

2732 N Lincoln Ave
Suite 1
Chicago, IL 60614-7432
Phone (312) 235-6773

30 S Michigan Ave
Suite 402
Chicago, IL 60603-3211
Phone (312) 726-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070012425ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Fitness and Rehabilitation/Rebound Sports Medicine Physical Therapist CurrentSince Jul 9, 2019 Accepting new patients
Chicago Physical Therapy & Rehabilitation Center, Inc. Physical Therapist CurrentSince Mar 15, 2021 Accepting new patients
Elite Healthcare Physical Therapist CurrentSince Jan 29, 2016 Accepting new patients
Affinity Chiropractic Center SC PastSince Mar 1, 2012 Accepting new patients

Locations

2732 N Lincoln Ave
Ste 1
Chicago, IL 60614
Phone (312) 235-6773

30 S Michigan Ave
Ste 402
Chicago, IL 60603
Phone (312) 726-1353

666 Dundee Rd
Ste 1002
Northbrook, IL 60062
Phone (847) 714-7400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1306977152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147431",
            "telephone_number": "312-733-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147431",
            "telephone_number": "312-235-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "REBECCA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.

Verify at the official NPI Registry.