Active NPI
Roy Mendizabal
- Physical Therapist
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1343 W Walnut Ave
Dalton, GA 30720-3857 - Phone
- (706) 913-8201
- Fax
- (706) 459-3646
- NPI assigned
- Jul 15, 2024
- Last updated
- Oct 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | GA | Primary |
Addresses
Primary practice location
1343 W Walnut Ave
Dalton, GA 30720-3857
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Commons Way
Suite D
Oxford, AL 36203-3490
Phone (256) 624-9722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCM Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| MCM Rehabilitation LLC | Current | Accepting new patients |
Locations
1343 W Walnut Ave
Dalton, GA 30720
Phone (706) 913-8201
97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cr
Chicago, IL 60674
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
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 Therapy Clinic/Center
- Hixson, TN
- NPI 1538226840
GA, Physical Therapist
-
dba Ati Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1922681360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1639917719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 W WALNUT AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307203857",
"telephone_number": "706-913-8201",
"fax_number": "706-459-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIZABAL",
"first_name": "ROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.