Active NPI
Lynn Mendicino, RPT
- Physical Therapist
- Ocala, FL
National Provider Identifier
1790837656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18688
- Practice address
- 4901 E Silver Springs Blvd
Ocala, FL 34470-3228 - Phone
- (352) 236-1811
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18688 | FL | Primary |
Addresses
Primary practice location
4901 E Silver Springs Blvd
Ocala, FL 34470-3228
Mailing address
HC 61 Box 63
Frametown, WV 26623-9403
Phone (304) 364-8194
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18688 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Ocala, FL
- NPI 1851340004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790837656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 61 BOX 63",
"city": "FRAMETOWN",
"state": "WV",
"postal_code": "266239403",
"telephone_number": "304-364-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 E SILVER SPRINGS BLVD",
"city": "OCALA",
"state": "FL",
"postal_code": "344703228",
"telephone_number": "352-236-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDICINO",
"first_name": "LYNN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "18688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.