Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carroll Ann Mendonca PT PC

Organization Physical Therapist · NPI 1356601686

Carroll Ann Mendonca PT PC is a Physical Therapist in South Ozone Park, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12711 111th Ave
South Ozone Park, NY 11420-1604
Phone: (718) 738-2236
Fax: (718) 738-2195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 022988 (NY)

Record details

NPI number1356601686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carroll Mendonca — Owner · (718) 738-2236
NPI enumeratedMay 21, 2012
Last updated in NPPESMay 21, 2012
Mailing address12711 111th Ave, South Ozone Park, NY 11420-1604

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