Individual provider Active NPI

Joanna Christal Mendoza, PT, DPT

  • Physical Therapist
  • Roanoke, TX
National Provider Identifier
1508517913
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1342439 Issued in TX
Practice address
1756 Halifax St
Roanoke, TX 76262-1388
Phone
(469) 993-8028
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1342439 TX Primary

Addresses

Primary practice location

1756 Halifax St
Roanoke, TX 76262-1388

Mailing address

11114 Marion Rd Unit 200
Sanger, TX 76266-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310001346 TX Practitioner - Physical Therapist in Private Practice 0042605024 Reassigns benefits to 2 organizations

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
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

2419 W Southlake Blvd
100 Direct Orthopedic Care
Southlake, TX 76092-1505
Phone (469) 535-6842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bentz Physical Therapy, PC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Doctx3 PLLC CurrentSince Mar 25, 2025 Accepting new patients
Doctx3 PLLC CurrentSince Mar 25, 2025 Accepting new patients
Child Care Therapy, LLC PastSince Jan 26, 2022 Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

800 Hemphill St
Ft Worth, TX 76104
Phone (817) 335-6155

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

110 Pate Orr Rd S
Keller, TX 76248
Phone (817) 337-0162

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1508517913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11114 MARION RD UNIT 200",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762663297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 HALIFAX ST",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762621388",
            "telephone_number": "469-993-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JOANNA",
        "middle_name": "CHRISTAL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1342439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.