Carroll Ann Mendonca PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022988 Issued in NY

Legal business name

CARROLL ANN MENDONCA PT PC

Practice address

12711 111TH Ave
South Ozone Park, NY 11420-1604

Phone

(718) 738-2236

Fax

(718) 738-2195

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Carroll Ann Mendonca, PTNPI 1871605337

Title

Owner

Phone

(718) 738-2236

Specialties & licenses 1

Addresses

Tax ID family

Caringhands Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Caringhands Physical Therapy

  • Physical Therapist
  • South Ozone Park, NY
  • NPI 1275763401
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carroll Ann Mendonca, PT

  • Physical Therapist
  • South Ozone Park, NY
  • NPI 1871605337
  NPD (past) Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1356601686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12711 111TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201604",
            "telephone_number": "718-738-2236",
            "fax_number": "718-738-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 111TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201604",
            "telephone_number": "718-738-2236",
            "fax_number": "718-738-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL ANN MENDONCA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "MENDONCA",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-738-2236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph John Calabrese, LMSW
• Jamilet Calderon, LMHC-D
• Marcelo Eduardo Calderon, D.M.D.,P.C.
• Nicole Caputo, LCSW
• Caringhands Physical Therapy
• Susan Carter
• Cath Char Nghbhd SVS Caldwell Icf
• Cecilia D Cervantes, M.D.
• Beth A Chalawsky, MA, CCC-SLP
• Chin Yeung Chan

• Physical Therapist in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.