Ma. Theresa Villarta Mendoza, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29204 Issued in FL

Practice address

3633 Cortez Rd W
Suite A4
Bradenton, FL 34210-3119

Phone

(941) 254-4954

Fax

(941) 254-4955

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Optimal Physical Therapy LLC

  • Physical Therapist
  • Bradenton, FL
  • NPI 1245667112
  Medicare reassignment NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1346200326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CORTEZ RD W",
            "address_2": "SUITE A4",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103119",
            "telephone_number": "941-254-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CORTEZ RD W",
            "address_2": "SUITE A4",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103119",
            "telephone_number": "941-254-4954",
            "fax_number": "941-254-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MA. THERESA",
        "middle_name": "VILLARTA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah E. Meissner, MS, CCC-SLP
• Heather Michelle Mellish, CRNA
• Lisa E Menchion, NP-C
• Carlos A Mendez, MD
• Isabella Faith Mendoza
• Rodney G Mendoza
• Allison V Menezes, MD
• Indu S Menon, M.D.
• Khdejia Meranvil
• Dina Marie Mercadante, LMHC

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.