Denise Menchaca, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28913 Issued in CA

Practice address

110 Jensen CT
Suite 2C
Thousand Oaks, CA 91360-7483

Phone

(805) 413-1070

Fax

(805) 413-1076

NPI assigned

Jul 19, 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Custom PT a Physical Therapy CorpGroup PAC ID 4981632551, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Custom P.T., a Physical Therapy Corp

  • Orthopedic Physical Therapist
  • Thousand Oaks, CA
  • NPI 1639107626

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Westlake Physical Therapy, Inc.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1558498337
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1477573111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613703",
            "telephone_number": "805-777-7370",
            "fax_number": "805-777-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JENSEN CT",
            "address_2": "SUITE 2C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607483",
            "telephone_number": "805-413-1070",
            "fax_number": "805-413-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHACA",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "28913",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TO GROUP NPI #",
            "identifier": "1558498337",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WLV GROUP NPI #",
            "identifier": "1043236078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kai Mekari
• Melvin MKW Hayashi, MD Inc.
• Sarah Melzer, NP
• Muhammad Ahmer Memon
• Memory Health MDS PC
• Harry Samuel Menco, MD
• Alyssa Marie Mendez, AMFT
• Brenda Mendez
• Maria S Mendez
• Tamara Cobos Mendez, MFT

• All providers in Thousand Oaks, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; 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.