Estevan Mendiola, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1365402 Issued in TX

Practice address

16530 Huebner Rd Ste 119
San Antonio, TX 78248-1699

Phone

(210) 479-3334

Fax

(210) 479-3338

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promotion Physical Therapy, P.C.Group PAC ID 9335164474, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Promotion Physical Therapy, P.C.

  • Physical Therapist
  • San Antonio, TX
  • NPI 1689665945
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1114623758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 STATE HIGHWAY 151 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514553",
            "telephone_number": "210-647-1167",
            "fax_number": "210-479-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 HUEBNER RD STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481699",
            "telephone_number": "210-479-3334",
            "fax_number": "210-479-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "ESTEVAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1365402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1365402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Mendiola- Garcia
• Brooke Mendiola
• Candy Mendiola, CPHT
• Christine Mendiola
• Christopher Mendiola, PAC
• Leah Mae Mendiola
• Nazario Gabriel Mendiola, REGISTERED NURSE
• Patricia Marie Mendiola, DDS
• Stephenie Mendiola
• Victor Ramon Mendiola, MD

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.