Active NPI
Tamara Ashley Mendez-Yadron, PT, DPT
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1346835923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299993
- Practice address
- 1000 Corporate Dr
Fort Lauderdale, FL 33334-3634 - Phone
- (800) 571-6511
- NPI assigned
- Mar 4, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299993 | CA | Primary |
Addresses
Primary practice location
1000 Corporate Dr
Fort Lauderdale, FL 33334-3634
Mailing address
1401 Buckingham Dr
Brentwood, CA 94513-2987
Phone (925) 234-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299993 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1346835923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 BUCKINGHAM DR",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132987",
"telephone_number": "925-234-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333343634",
"telephone_number": "800-571-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ-YADRON",
"first_name": "TAMARA",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "299993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.