Active NPI
Emily Mendonca, DPT
- Physical Therapist
- Rome, GA
National Provider Identifier
1144024365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014942
- Practice address
- 314 E 1St Ave
Rome, GA 30161-3216 - Phone
- (706) 314-8504
- NPI assigned
- Apr 4, 2025
- Last updated
- Apr 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014942 | GA | Primary |
Addresses
Primary practice location
314 E 1St Ave
Rome, GA 30161-3216
Mailing address
520 E 8TH St SE
Rome, GA 30161-6208
Phone (706) 513-0966
Other names 1
- Emily Nash
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
314 E 1St Ave
Suite 701
Rome, GA 30161-3216
Phone (706) 314-8504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shift Mobile Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
314 E 1st Ave
Rome, GA 30161
Phone (706) 314-8504
314 E 1st Ave
#701
Rome, GA 30161
Phone (706) 314-8504
Organizations & group practices 1
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.
-
- Physical Therapist
- Rome, GA
- NPI 1891326542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1144024365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 8TH ST SE",
"city": "ROME",
"state": "GA",
"postal_code": "301616208",
"telephone_number": "706-513-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 E 1ST AVE",
"city": "ROME",
"state": "GA",
"postal_code": "301613216",
"telephone_number": "706-314-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDONCA",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "NASH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.