Active NPI
Dyana Selena Mendoza, DPT
- Physical Therapist
- Surprise, AZ
National Provider Identifier
1578364691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-034877
- Practice address
- 13951 W Grand Ave
Surprise, AZ 85374-2436 - Phone
- (623) 537-9730
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 309564 | CA | |
| Physical Therapist | 225100000X | LPT-034877 | AZ | Primary |
| Physical Therapist | 225100000X | 2808 | ND | |
| Physical Therapist | 225100000X | PT43389 | FL |
Addresses
Primary practice location
13951 W Grand Ave
Surprise, AZ 85374-2436
Mailing address
360 Evergreen Ave
Tequesta, FL 33469-2957
Phone (561) 662-7185
Other practice location 1
1138 N 3rd St
Bismarck, ND 58501-3556
Phone (701) 258-1569
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Enrichment Garden | Current | Accepting new patients | |
| Core Objectives Physical Therapy | Physical Therapist | Past | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
1138 N 3rd St
Bismarck, ND 58501
Phone (701) 258-1569
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Hearing and Speech Clinic/Center
- Bismarck, ND
- NPI 1730212325
-
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
-
- Orthopedic Physical Therapist
- Surprise, AZ
- NPI 1912214032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1578364691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 EVERGREEN AVE",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692957",
"telephone_number": "561-662-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13951 W GRAND AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742436",
"telephone_number": "623-537-9730"
}
],
"practiceLocations": [
{
"address_1": "1138 N 3rd St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585013556",
"country_code": "US",
"telephone_number": "701-258-1569",
"fax_number": "701-223-1669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "DYANA",
"middle_name": "SELENA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "309564",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-034877",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2808",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT43389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.