Active NPI
Daniel Mendoza, PT, DPT
- Physical Therapist
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1331309
- Practice address
- 2519 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2964 - Phone
- (512) 331-6200
- Fax
- (512) 331-6384
- NPI assigned
- Jul 15, 2020
- Last updated
- Mar 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1331309 | TX | Primary |
Addresses
Primary practice location
2519 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2964
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17220 N RM
620 Suite 110
Round Rock, TX 78681-3913
Phone (512) 527-6007
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tillman Physical Therapy & Sports Training Center, Inc | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2519 S Lakeline Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 331-6200
5004 Gattis School Rd
Ste 220
Hutto, TX 78634
Phone (512) 813-2087
1825 Crystal Falls Pkwy
Ste 150
Leander, TX 78641
Phone (512) 817-5001
2606 W Pecan St
Ste 102
Pflugerville, TX 78660
Phone (512) 527-6298
17220 N Rm 620 Rd
Ste 110
Round Rock, TX 78681
Phone (512) 527-6007
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 3
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 ATI Physical Therapy
- Physical Therapist
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- NPI 1538573746
-
- Physical Therapy Clinic/Center
- Cedar Park, TX
- NPI 1376579797
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1629686738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 S LAKELINE BLVD STE 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132964",
"telephone_number": "512-331-6200",
"fax_number": "512-331-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "DANIEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1331309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.