Jonathon Mendola, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

038813-1 Issued in NY

Practice address

35 River Rd
2ND Floor
Cos Cob, CT 06807-2759

Phone

(203) 202-2703

NPI assigned

Jul 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy of Westport LLCGroup PAC ID 2567698756, 6 clinicians

Performance Physical Therapy of Darien LLCGroup PAC ID 6002119997, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Physical Therapy of Darien LLC

  • Physical Therapist
  • Darien, CT
  • NPI 1548630189

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Performance Physical Therapy of Westport LLC

  • Physical Therapist
  • Westport, CT
  • NPI 1972809036

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Performance Physical Therapy of New Canaan, PLLC

  • Physical Therapy Clinic/Center
  • New Canaan, CT
  • NPI 1194282004

  CT, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1770966640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POST RD",
            "address_2": "SUITE 3A",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "address_2": "2ND FLOOR",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-202-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOLA",
        "first_name": "JONATHON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "038813-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.011135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Mazanet, MD
• Jane Ann McBride, P.T.
• Kayleigh McComb, DPT
• Ann McCue, APRN
• McLain Coffin Counseling, LLC
• Michael Mendribil, N.D.
• Meryl Brownstein Optometrist P.C.
• Adam Messenger, M.D.
• Lauren Moccia, DNP CRNA
• Bruce Molinelli, M.D.

• All providers in Cos Cob, CT
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.