Active NPI
Melissa Mendoza
- Physical Therapist
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01921700
- Practice address
- 4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325 - Phone
- (610) 436-3600
- NPI assigned
- Feb 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01921700 | NJ | Primary |
| Physical Therapist | 225100000X | PT028409 | PA |
Addresses
Primary practice location
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4622 Black Horse Pike
Mays Landing, NJ 08330-3214
Phone (609) 909-9555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT028409 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| Osprey Rehabilitation, LLC. | Current | Accepting new patients | |
| Rehabclinics SPT Inc. | Current | Accepting new patients | |
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Past | Accepting new patients |
Locations
4622 Black Horse Pike
Mays Landing, NJ 08330
Phone (609) 893-1200
127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275
1805 Route 206
Ste 3
Southampton, NJ 08088
Phone (609) 859-2426
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Organizations & group practices 7
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.
-
- Physical Therapy Clinic/Center
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- NPI 1659085678
Physical Therapist
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- NPI 1699113688
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
-
- Physical Therapy Clinic/Center
- Ventnor City, NJ
- NPI 1164137196
-
- Physical Therapy Clinic/Center
- Linwood, NJ
- NPI 1255064044
-
- Physical Therapy Clinic/Center
- Moorestown, NJ
- NPI 1346246824
-
- Physical Therapy Clinic/Center
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- NPI 1043271216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1811520265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "610-436-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01921700",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028409",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.