MARK VINCENT I SORIANO MENDOZA DPT
NPI 1124831714
Physical Therapist in Chubbuck, ID

Active since January 29, 2025
763 BOYD ST, CHUBBUCK, ID 83202(208) 417-9605 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Vincent I Soriano Mendoza Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK VINCENT I SORIANO MENDOZA DPT (NPI 1124831714) is an individual physical therapist in Chubbuck, Idaho, licensed in Idaho (PT3640) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1124831714
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMARK VINCENT I SORIANO MENDOZACredential: DPT
Location Address763 BOYD STChubbuck, ID 83202-2941
Mailing Address763 Boyd StChubbuck, ID 83202-2941 · (208) 417-9605
Sole ProprietorYes
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1124831714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in ID · PT3640
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
763 BOYD ST, Chubbuck, ID 83202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Vincent I Mendoza's NPI number?

The NPI number for Mark Vincent I Mendoza is 1124831714. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Where is Mark Vincent I Mendoza located?

Mark Vincent I Mendoza practices at 763 Boyd St, Chubbuck, ID 83202. The listed phone number is (208) 417-9605.

What is Mark Vincent I Mendoza's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Mark Vincent I Mendoza was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.