Organization Active NPI

My Physical Therapy & Acupuncture PLLC

  • Rehabilitation Practitioner
  • Flushing, NY
National Provider Identifier
1700387206
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
026971 Issued in NY
Legal business name
MY PHYSICAL THERAPY & ACUPUNCTURE PLLC
Practice address
14238 37TH Ave Ste 1D
Flushing, NY 11354-4580
Phone
(718) 866-8979
Fax
(718) 228-9172
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Dr. Alex Mendoza, DPT
Title
Physical Therapist
Phone
(718) 886-8979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X 026971 NY Primary

Addresses

Primary practice location

14238 37TH Ave Ste 1D
Flushing, NY 11354-4580

Mailing address

14238 37TH Ave Ste 1D
Flushing, NY 11354-4580
Phone (718) 886-8979

National Provider Directory

National Provider Directory

Locations

14238 37th Ave
Ste 1D
Flushing, NY 11354
Phone (718) 313-8585

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1700387206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14238 37TH AVE STE 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544580",
            "telephone_number": "718-886-8979",
            "fax_number": "718-228-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14238 37TH AVE STE 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544580",
            "telephone_number": "718-866-8979",
            "fax_number": "718-228-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHYSICAL THERAPY & ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-886-8979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "026971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.