Individual provider Active NPI

Cameron Mendoza, LMSW

  • Physical Therapy Assistant
  • Rogers, AR
National Provider Identifier
1245828375
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA4522 Issued in AR
Practice address
3307 N Dixieland Rd
Rogers, AR 72756-6816
Phone
(479) 986-5150
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X PTA4522 AR Primary

Addresses

Primary practice location

3307 N Dixieland Rd
Rogers, AR 72756-6816

Mailing address

3307 N Dixieland Rd
Rogers, AR 72756-6816
Phone (479) 986-5150

Other practice location 1

425 S Main St
Decatur, AR 72722-9799
Phone (479) 212-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA4522ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kids for the Future Rogers, Inc. Past Accepting new patients
Kids for the Future of Western Benton County, LLC PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1245828375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 N DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566816",
            "telephone_number": "479-986-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 N DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566816",
            "telephone_number": "479-986-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 S Main St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AR",
            "postal_code": "727229799",
            "country_code": "US",
            "telephone_number": "479-212-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CAMERON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA4522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.