Ryan Damian Mendoza, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA31676 Issued in FL

Practice address

11750 Canal St Unit 203
Miramar, FL 33025-7823

Phone

(954) 918-4246

NPI assigned

Feb 8, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1508671512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SW 167TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274646",
            "telephone_number": "954-918-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 CANAL ST UNIT 203",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257823",
            "telephone_number": "954-918-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RYAN",
        "middle_name": "DAMIAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L Mendez, MD
• Jose E Mendez, DO
• Melonie Mendez, ED.S.
• Jessica Jolie Mendieta
• Luis Mendoza Perez
• Lidice Menendez Perez, RPH
• Elena M Menendez, DMD
• Divya Menezes, M.D.
• Lianisel Menocal
• Mental Ease LLC

• Physical Therapy Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.