Active NPI
Gunnar Mendiola
- Physical Therapist
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3150 N Cobb Pkwy Ste 150
Kennesaw, GA 30152-1009 - Phone
- (678) 574-6868
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
3150 N Cobb Pkwy Ste 150
Kennesaw, GA 30152-1009
Mailing address
4258 Shipyard Trce NE
Roswell, GA 30075-5254
Phone (478) 960-7376
Other practice location 1
655 Molly Ln Ste 100
Woodstock, GA 30189-6519
Phone (770) 517-1080
Other practice location 2
695 Henderson Dr
Cartersville, GA 30120-3738
Phone (770) 386-6300
Other practice location 3
2155 Post Oak Tritt Rd Ste 400
Marietta, GA 30062-1651
Phone (770) 565-4044
Other practice location 4
24 E Crossville Rd Ste 150
Roswell, GA 30075-7684
Phone (678) 822-0721
Other practice location 5
390 Ernest W Barrett Pkwy NW Ste 4
Kennesaw, GA 30144-4989
Phone (770) 426-9945
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Therapy Services | Physical Therapist | Past | Accepting new patients |
| Remedy Behavioral Health, LLC | Past | 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.
-
- Psychiatry Physician
- Florence, AL
- NPI 1013517317
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Simpsonville, SC
- NPI 1114570264
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1285100321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 SHIPYARD TRCE NE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300755254",
"telephone_number": "478-960-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N COBB PKWY STE 150",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301521009",
"telephone_number": "678-574-6868"
}
],
"practiceLocations": [
{
"address_1": "655 Molly Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301896519",
"country_code": "US",
"telephone_number": "770-517-1080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "695 Henderson Dr",
"address_purpose": "LOCATION",
"city": "Cartersville",
"state": "GA",
"postal_code": "301203738",
"country_code": "US",
"telephone_number": "770-386-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2155 Post Oak Tritt Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300621651",
"country_code": "US",
"telephone_number": "770-565-4044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 E Crossville Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300757684",
"country_code": "US",
"telephone_number": "678-822-0721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "390 Ernest W Barrett Pkwy NW Ste 4",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301444989",
"country_code": "US",
"telephone_number": "770-426-9945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDIOLA",
"first_name": "GUNNAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.