Elizabeth Mendola, MS, ATC, LAT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AT5639 Issued in TX

Practice address

3201 Old Denton Rd
Carrollton, TX 75007-3957

Phone

(972) 968-4900

NPI assigned

Mar 24, 2018

Last updated

Mar 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521849600000",
    "number": "1629573522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LEORA LN APT 837",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750563950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 OLD DENTON RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073957",
            "telephone_number": "972-968-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOLA",
        "first_name": "ELIZABETH",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2018-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "AT5639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC CERTIFIED ATHLETIC TRAINER",
            "identifier": "2000013779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION MEMBER",
            "identifier": "59927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farah K Mehdi, DPT
• Melissa Scaggs DDS PA
• Megan Danielle Melton, CST
• Martha Mena Arcineda, OT
• Morgan Leeann Mendin
• Sukaina Merali
• Rishad Merchant
• Yasmin Merchant
• Meridian Anesthesia, PLLC
• Merit Healthcare Services, Inc.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.