JDM Direct Intervention PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

JDM DIRECT INTERVENTION PLLC

Practice address

1501 E Bustamante St
Ste. G
Laredo, TX 78041-8905

Phone

(956) 718-2020

Fax

(956) 718-2919

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Joanna Mendoza, SLPNPI 1457539959

Title

Owner

Phone

(956) 718-2020

Specialties & licenses 1

Addresses

Other names 1

• FUNTASTIC THERAPY Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna Riojas Mendoza, SLP

  • Speech-Language Pathologist
  • Laredo, TX
  • NPI 1457539959
  NPD (past) Authorized official
• Terri R Gonzalez, ED.D., OTR, LMT

  • Contractor
  • Laredo, TX
  • NPI 1174824379
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1659658284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 MARFA RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458686",
            "telephone_number": "956-718-2020",
            "fax_number": "956-718-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E BUSTAMANTE ST",
            "address_2": "STE. G",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780418905",
            "telephone_number": "956-718-2020",
            "fax_number": "956-718-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDM DIRECT INTERVENTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-718-2020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FUNTASTIC THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Jasso
• Yolanda Jasso
• Javier Estrada Incorporated
• Javier G. Montes,M.D.PA.
• JD Coe III Family Nurse Practitioner Services PLLC
• Jean Salinas Las Violetas Senior Residence
• Jenesis Emergency Services,Inc.
• Jennifer Garcia-Davalos MD PLLC
• Jesus S Pineda M.D.P.a.
• Jesus Jimenez Sanchez, NP

• Rehabilitation Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.