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NPI Code Detail

MEDICARE: JOSHUA B MENDOZA DPT

MEDICARE: JOSHUA B MENDOZA DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT38495FL
2225100000XPhysical Therapist2305208123VA

General Provider Information

NPI Number : 1679905459
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA B MENDOZA DPT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-6200
Fax Number :
Provider Business Practice Location Address
First Line : 4613 DUKE ST STE B
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22304-2559
Country : US
Telephone Number : 703-751-1052
Fax Number : 703-751-1053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2013
Last Update Date : 04/28/2026

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Directions to “ JOSHUA B MENDOZA DPT” Practice Location

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