Individual provider Active NPI

Adriana M Mendonca, PT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1649395955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20401 Issued in FL
Practice address
19242 SW 65TH St
Fort Lauderdale, FL 33332-3361
Phone
(954) 680-3712
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20401 FL Primary

Addresses

Primary practice location

19242 SW 65TH St
Fort Lauderdale, FL 33332-3361

Mailing address

19242 SW 65TH St
Fort Lauderdale, FL 33332-3361
Phone (954) 680-3712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000316 FL Practitioner - Physical Therapist in Private Practice 9032202056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Movement Rehab LLC Physical Therapist CurrentSince Apr 10, 2025 Accepting new patients
Indispensable Health, LLC Past Accepting new patients
Rehabilitation Health Center Inc Physical Therapist Past Accepting new patients
Pines Total Rehabilitation Health Center Corp Physical Therapist Past Accepting new patients
Interactive Rehab Services Inc Past Accepting new patients
T & R Rehab, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649395955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19242 SW 65TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323361",
            "telephone_number": "954-680-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19242 SW 65TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323361",
            "telephone_number": "954-680-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDONCA",
        "first_name": "ADRIANA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.