Individual provider Active NPI

Rodrigo Mendoza Romo, DPT

  • Physical Therapist
  • Bridgeton, MO
National Provider Identifier
1528876778
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024047307 Issued in MO
Practice address
12380 De Paul Dr
Bridgeton, MO 63044-2511
Phone
(314) 447-9710
NPI assigned
Dec 19, 2024
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.029250 IL
Physical Therapist 225100000X 2024047307 MO Primary

Addresses

Primary practice location

12380 De Paul Dr
Bridgeton, MO 63044-2511

Mailing address

12380 De Paul Dr
Bridgeton, MO 63044-2511

Other practice location 1

1 Town and Country Market Pl
Warrenton, MO 63383-1372
Phone (636) 235-3830

Other practice location 2

9735 Landmark Parkway Dr Ste 105
Saint Louis, MO 63127-1616
Phone (314) 821-7554

Other practice location 3

121 Chesterfield Towne Ctr
Chesterfield, MO 63005-1230
Phone (636) 730-1601

Other practice location 4

1552 Country Club Plaza Dr Unit 1570
Saint Charles, MO 63303-3859
Phone (636) 724-1127

Other practice location 5

5 Document Dr
Saint Louis, MO 63114-6100
Phone (314) 970-9115

Other practice location 6

3501 Dunn Rd Ste 108
Florissant, MO 63033-6762
Phone (314) 972-8070

Other practice location 7

2 Harbor Bend Ct Ste 102
Lake St Louis, MO 63367-1480
Phone (636) 695-2075

Other practice location 8

821 W Highway 50 Ste 150
O Fallon, IL 62269-1828
Phone (618) 726-0370

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
070.029250ILMDPhysical Therapist
2024047307MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Select Rehab St. Louis, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1528876778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442511",
            "telephone_number": "314-447-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Town and Country Market Pl",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "MO",
            "postal_code": "633831372",
            "country_code": "US",
            "telephone_number": "636-235-3830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9735 Landmark Parkway Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271616",
            "country_code": "US",
            "telephone_number": "314-821-7554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Chesterfield Towne Ctr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630051230",
            "country_code": "US",
            "telephone_number": "636-730-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1552 Country Club Plaza Dr Unit 1570",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633033859",
            "country_code": "US",
            "telephone_number": "636-724-1127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Document Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631146100",
            "country_code": "US",
            "telephone_number": "314-970-9115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Dunn Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336762",
            "country_code": "US",
            "telephone_number": "314-972-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Harbor Bend Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lake St Louis",
            "state": "MO",
            "postal_code": "633671480",
            "country_code": "US",
            "telephone_number": "636-695-2075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 W Highway 50 Ste 150",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691828",
            "country_code": "US",
            "telephone_number": "618-726-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA ROMO",
        "first_name": "RODRIGO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-19",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029250",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024047307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.