Active NPI
Juanita Mendoza
- Physical Therapist
- Corpus Christi, TX
National Provider Identifier
1972923522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1073831
- Practice address
- 14317 NW Blvd
Suite a
Corpus Christi, TX 78410-5536 - Phone
- (361) 241-0324
- Fax
- (361) 387-4153
- NPI assigned
- Apr 22, 2014
- 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 | 1073831 | TX | Primary |
Addresses
Primary practice location
14317 NW Blvd
Suite a
Corpus Christi, TX 78410-5536
Mailing address
14317 NW Blvd
Suite a
Corpus Christi, TX 78410-5536
Phone (361) 241-0324
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1972923522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14317 NW BLVD",
"address_2": "SUITE A",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784105536",
"telephone_number": "361-241-0324",
"fax_number": "361-387-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14317 NW BLVD",
"address_2": "SUITE A",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784105536",
"telephone_number": "361-241-0324",
"fax_number": "361-387-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JUANITA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1073831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.