Individual provider Active NPI

Jessica Mendoza, DPT

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1053943886
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1328544 Issued in TX
Practice address
272 FM 306 Ste 122
New Braunfels, TX 78130-5490
Phone
(830) 500-5300
Fax
(830) 500-5350
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1328544 TX Primary

Addresses

Primary practice location

272 FM 306 Ste 122
New Braunfels, TX 78130-5490

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

5284 Medical Dr Ste 109
San Antonio, TX 78229-5200
Phone (210) 238-6046

Other practice location 2

20835 US Highway 281 N Ste 508
San Antonio, TX 78258-7599
Phone (210) 998-6443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200227000637 TX Practitioner - Physical Therapist in Private Practice 1355778580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mint Physical Therapy LLCGroup PAC ID 7618250952, 11 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1551 N Walnut Ave
Suite 47
New Braunfels, TX 78130-6045
Phone (830) 358-1151

5284 Medical Dr
Suite 109
San Antonio, TX 78229-5200
Phone (210) 238-6046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Mint Physical Therapy, LLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

272 FM 306
Ste 122
New Braunfels, TX 78130
Phone (830) 500-5300

1860 S Seguin Ave
Ste 200
New Braunfels, TX 78130
Phone (830) 837-5052

1551 N Walnut Ave
#47
New Braunfels, TX 78130
Phone (830) 358-1151

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130
Phone (830) 358-1151

5284 Medical Dr
Ste 109
San Antonio, TX 78229
Phone (210) 238-6046

20835 US Highway 281 N
Ste 508
San Antonio, TX 78258
Phone (210) 998-6443

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1053943886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 FM 306 STE 122",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305490",
            "telephone_number": "830-500-5300",
            "fax_number": "830-500-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5284 Medical Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295200",
            "country_code": "US",
            "telephone_number": "210-238-6046",
            "fax_number": "210-332-6469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20835 US Highway 281 N Ste 508",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587599",
            "country_code": "US",
            "telephone_number": "210-998-6443",
            "fax_number": "210-998-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1328544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.