Active NPI
Rodrigo Mendoza Romo, DPT
- Physical Therapist
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2024047307
- Practice address
- 12380 De Paul Dr
Bridgeton, MO 63044-2511 - Phone
- (314) 447-9710
- NPI assigned
- Dec 19, 2024
- Last updated
- Jun 5, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.029250 | IL | MD | Physical Therapist |
| 2024047307 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba SSM Physical Therapy
- Rehabilitation Practitioner
- Breese, IL
- NPI 1740166347
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.