| Maria Theresa Fernandez Mendoza, PT | |
|
801 N I St Apt 104, Tacoma, WA 98403-2030 | |
| (678) 557-0412 | |
| (770) 497-6405 |
| Full Name | Maria Theresa Fernandez Mendoza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 801 N I St Apt 104, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376613646 | NPI | - | NPPES |
| 217472348C | Medicaid | GA | |
| 217472348D | Medicaid | GA | |
| 217472348B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT007776 (Georgia) | Secondary |
| 225100000X | Physical Therapist | PT60886313 (Washington) | Primary |
| Provider Name | King County Public Hospital District No 2 |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Provider Name | Washington Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346808052 PECOS PAC ID: 7416283817 Enrollment ID: O20190723002308 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Theresa Fernandez Mendoza, PT 801 N I St Apt 104, Tacoma, WA 98403-2030 Ph: (678) 557-0412 | Maria Theresa Fernandez Mendoza, PT 801 N I St Apt 104, Tacoma, WA 98403-2030 Ph: (678) 557-0412 |
Mr. Jesse Ryan Pooler, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 621 S Pine St, Tacoma, WA 98405 Phone: 253-835-8091 | |
Ms. Katherine Jean Thurman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 S 56th St, Tacoma, WA 98409 Phone: 253-475-6862 | |
Gabrielle Abrahamsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2220 | |
Therapeutic Associates Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3518 6th Ave Ste 200a, Tacoma, WA 98406 Phone: 503-443-6156 | |
Isabel Monaghan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 S Union Ave Ste 130, Tacoma, WA 98405 Phone: 253-552-2525 | |
Ms. Hannah L Goldstein, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5006 Center St, Ste N, Tacoma, WA 98409 Phone: 253-476-0449 | |
Marcos Alejandro Castillo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11112 Pacific Ave S, Tacoma, WA 98444 Phone: 253-537-1103 |