Ernesto Mendez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028275 Issued in PA

Practice address

3400 Aramingo Ave Ste 11
Philadelphia, PA 19134-4531

Phone

(215) 203-1930

Fax

(215) 203-1931

NPI assigned

Dec 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA, TX3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellah Therapies LLCGroup PAC ID 3072817873, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bellah Therapies LLC

  • Physical Therapist
  • Harker Heights, TX
  • NPI 1790157964
  Medicare reassignment Care Compare group NPD
• La Fortaleza Physical Therapy Center Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1285673517
  Medicare reassignment NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  Medicare reassignment NPD
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment NPD
• Movement 4 Wellness, LLC

  • Physical Therapy Clinic/Center
  • Merchantville, NJ
  • NPI 1134731755
  NPD Authorized official
• La Fortaleza Physical Therapy Center Inc

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1457897779
  NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• La Fortaleza Physical Therapy Inc

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1609170679
  NPD (past)

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1336684331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411503",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ARAMINGO AVE STE 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344531",
            "telephone_number": "215-203-1930",
            "fax_number": "215-203-1931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Gate Dr",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080543838",
            "country_code": "US",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1873 Route 70 E Ste 1-J",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032034",
            "country_code": "US",
            "telephone_number": "856-428-4030",
            "fax_number": "856-428-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ERNESTO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028275",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01712800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Douglas Mendenhall, M.D.
• Courtney Mendes
• Gabrielle Mendes, MD
• Edras Mendez-Hernandez, PA-C
• Mariana Mendez-Tadel, MD
• James D Mendez, CRNP
• Jessica M Mendez
• Kendra Mendez, MD
• Maria Mendez, MD
• Mendful Minds Wellness Center, LLC

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.