Active NPI
Joseph Mendonca, PT, DPT
- Physical Therapist
- South Holland, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070028864
- Practice address
- 426 E 162ND St
South Holland, IL 60473-2258 - Phone
- (708) 333-0677
- NPI assigned
- May 21, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61564100 | WA | |
| Physical Therapist | 225100000X | AZ | ||
| Physical Therapist | 225100000X | 1345751 | TX | |
| Physical Therapist | 225100000X | 070028864 | IL | Primary |
Addresses
Primary practice location
426 E 162ND St
South Holland, IL 60473-2258
Mailing address
2001 Butterfield Rd Ste 1600
Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2222
Other practice location 1
5605 100th St SW Ste B
Lakewood, WA 98499-2710
Phone (253) 284-9800
Other practice location 2
102 N Travis Ave
Cleveland, TX 77327-4012
Phone (281) 592-2884
Other practice location 3
5977 E Grant Rd Ste 101
Tucson, AZ 85712-2369
Phone (520) 448-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
Enrollment records 2
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)
426 E 162ND St
South Holland, IL 60473-2258
Phone (708) 333-0677
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070028864 | IL | MD | Physical Therapist |
| 1345751 | TX | MD | Physical Therapist |
| PT61564100 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
426 E 162nd St
South Holland, IL 60473
Phone (708) 333-0677
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072
308 Coit Rd
Ste 400
Plano, TX 75075
Phone (469) 573-9606
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
809 Woodbridge Pkwy
Ste 200
Wylie, TX 75098
Phone (469) 299-5803
Organizations & group practices 5
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1417522418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"address_2": "STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 E 162ND ST",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604732258",
"telephone_number": "708-333-0677"
}
],
"practiceLocations": [
{
"address_1": "5605 100th St SW Ste B",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984992710",
"country_code": "US",
"telephone_number": "253-284-9800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 N Travis Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TX",
"postal_code": "773274012",
"country_code": "US",
"telephone_number": "281-592-2884",
"fax_number": "281-592-3269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5977 E Grant Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122369",
"country_code": "US",
"telephone_number": "520-448-5700",
"fax_number": "520-822-8641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDONCA",
"first_name": "JOSEPH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61564100",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1345751",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070028864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.