Individual provider Active NPI

Danielle Mendez, PT, MSPT, OCS

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1982018180
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01553300 Issued in NJ
Practice address
3 Joanna CT Ste E
East Brunswick, NJ 08816-2283
Phone
(732) 631-4233
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01553300 NJ Primary

Addresses

Primary practice location

3 Joanna CT Ste E
East Brunswick, NJ 08816-2283

Mailing address

15A Wickatunk Rd
Manalapan, NJ 07726-2719
Phone (732) 322-9137

Other practice location 1

2147 Route 27
Edison, NJ 08817-3365
Phone (732) 777-9733

Other practice location 2

15A Wickatunk Rd
Manalapan, NJ 07726-2719
Phone (732) 631-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180404000373 NJ Practitioner - Physical Therapist in Private Practice 9436412434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proform Physical Therapy LLCGroup PAC ID 9436383114, 18 clinicians

Practice addresses (Care Compare)

1077 State Route 34
Suite M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy and Rehabilitation CurrentSince Sep 7, 2020 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Jul 15, 2020 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Jersey Central Physical Therapy Past Accepting new patients

Locations

3 Joanna Ct
Ste E
East Brunswick, NJ 08816
Phone (732) 322-9137

510 State Route 18
East Brunswick, NJ 08816
Phone (732) 554-8330

1921 Route 27
Edison, NJ 08817
Phone (732) 290-4511

1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882

1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900

2665 Highway 516
Old Bridge, NJ 08857
Phone (732) 952-8826

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1982018180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15A WICKATUNK RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262719",
            "telephone_number": "732-322-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOANNA CT STE E",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162283",
            "telephone_number": "732-631-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2147 Route 27",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088173365",
            "country_code": "US",
            "telephone_number": "732-777-9733",
            "fax_number": "732-777-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15A Wickatunk Rd",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077262719",
            "country_code": "US",
            "telephone_number": "732-631-4233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "DANIELLE",
        "credential": "PT, MSPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01553300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.