Individual ProviderDyana MendozaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1138 N 3rd St, Bismarck, ND 58501-3556(701) 258-1569PECOS EnrollmentBased on the most recent information from CMS, provider Dyana Mendoza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578364691Provider TypeIndividualFull NameMendoza, DyanaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date3/24/2025Last Updated3/24/2025Contact InformationPractice LocationPractice Address1138 N 3rd St, Bismarck, ND 58501-3556Phone(701) 258-1569Fax(701) 223-1669Mailing LocationMailing Address1138 N 3rd St, Bismarck, ND 58501-3556Phone(701) 258-1569Fax(701) 223-1669Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2808North Dakota