Provider Demographics
NPI:1124807128
Name:MENDOZA, MONICA ASHLEY (PT, DPT, MS)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ASHLEY
Last Name:MENDOZA
Suffix:
Gender:
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 S WADSWORTH BLVD UNIT F107
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5123
Mailing Address - Country:US
Mailing Address - Phone:303-980-6762
Mailing Address - Fax:
Practice Address - Street 1:3355 S WADSWORTH BLVD UNIT F107
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5123
Practice Address - Country:US
Practice Address - Phone:303-980-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27934225100000X
TX1382770225100000X
COCP038583T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist