Jena Mendoza, PT, DPT, OCS
Physical Therapist in Livingston, CA. Individual provider (NPI-1).
NPI number1649645003
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1649645003
- Entity type
- Individual (NPI-1)
- Name
- Jena Mendoza
- Credential
- PT, DPT, OCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2015
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT43502 | CA | Yes |
Practice location
468 Winton PkwyLivingston, CA 95334-9809
Phone 209-398-8740 · Fax 209-222-6185
Mailing address
468 Winton PkwyLivingston, CA 95334-9809
Phone 209-398-8740 · Fax 209-222-6185
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