Marc A Mendoza

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216266 Issued in VA

Practice address

6805 Industrial Rd Ste 3100
Springfield, VA 22151-4206

Phone

(703) 256-2171

NPI assigned

Dec 1, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1023728813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 EVANSTON RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503625",
            "telephone_number": "703-229-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 INDUSTRIAL RD STE 3100",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514206",
            "telephone_number": "703-256-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARC",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Meeks
• Gregory Meholic, DDS
• Nirali Yogesh Mehta, DMD
• Fahimeh Meidani, MA
• Barbara A Melton, OTR/L
• Angela Mensah, RPH
• Joanne Michelle Merino, MS CCC SLP
• Rachel Merino
• Missale L Mesfin, MD
• Helina Mesfun, DDS

• Physical Therapist in Springfield, VA
• Providers in Springfield, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.