| Jonathon Mendola, DPT | |
|
35 River Rd, 2nd Floor, Cos Cob, CT 06807-2759 | |
| (203) 202-2703 | |
| Not Available |
| Full Name | Jonathon Mendola |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 35 River Rd, Cos Cob, Connecticut |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770966640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 038813-1 (New York) | Primary |
| 225100000X | Physical Therapist | 14.011135 (Connecticut) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Performance Physical Therapy Of New Canaan Pllc | 2365782745 | 6 |
| Performance Physical Therapy Of Westport Llc | 2567698756 | 7 |
| Performance Physical Therapy Of Darien Llc | 6002119997 | 2 |
| Entity Name | Performance Physical Therapy Of Westport Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1972809036 PECOS PAC ID: 2567698756 Enrollment ID: O20140227000723 |
| Entity Name | Performance Physical Therapy Of Darien Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1548630189 PECOS PAC ID: 6002119997 Enrollment ID: O20160127001403 |
| Entity Name | Performance Physical Therapy Of New Canaan Pllc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1194282004 PECOS PAC ID: 2365782745 Enrollment ID: O20190321001142 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon Mendola, DPT 800 Post Rd, Suite 3a, Darien, CT 06820-4622 Ph: () - | Jonathon Mendola, DPT 35 River Rd, 2nd Floor, Cos Cob, CT 06807-2759 Ph: (203) 202-2703 |
Olga Kolenberg, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 132 E Putnam Ave Ste 14, Cos Cob, CT 06807 Phone: 203-512-4149 Fax: 203-358-0052 |