Active NPI
Deidra T Mendoza
- Massage Therapist
- Altamonte Springs, FL
National Provider Identifier
1497216469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14950
- Practice address
- 938 Vineridge Run Apt 103
Altamonte Springs, FL 32714-1759 - Phone
- (904) 962-3192
- NPI assigned
- Mar 30, 2019
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14950 | MA | Primary |
Addresses
Primary practice location
938 Vineridge Run Apt 103
Altamonte Springs, FL 32714-1759
Mailing address
938 Vineridge Run Apt 103
Altamonte Springs, FL 32714-1759
Phone (904) 962-3192
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 |
|---|---|---|---|
| 14950 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1497216469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 VINERIDGE RUN APT 103",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327141759",
"telephone_number": "904-962-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 VINERIDGE RUN APT 103",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327141759",
"telephone_number": "904-962-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "DEIDRA",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "14950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.