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

Individual provider Physical Therapist · NPI 1417925454

Ismael M Mendoza, PT is a Physical Therapist in Long Island City, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3711 Queens Blvd
Long Island City, NY 11101-1725
Phone: (718) 361-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 022476 (NY)

Record details

NPI number1417925454
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESDecember 10, 2012

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