Individual provider Active NPI

Justin-Allen Mendoza, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1679021521
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1281926 Issued in TX
Practice address
15614 Meridian E Ste 100
Puyallup, WA 98375-5100
Phone
(253) 840-5511
NPI assigned
Sep 20, 2016
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1281926 TX Primary

Addresses

Primary practice location

15614 Meridian E Ste 100
Puyallup, WA 98375-5100

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

210 W Campbell Rd
Richardson, TX 75080-3512
Phone (972) 807-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422001485 WA Practitioner - Physical Therapist in Private Practice 6002198504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

15614 Meridian E
Suite 100
Puyallup, WA 98375-5100
Phone (253) 840-5511

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1281926TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Sep 13, 2016 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Sep 13, 2016 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

1267 W Exchange Pkwy
Ste 150
Allen, TX 75013
Phone (469) 342-0641

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

6828 Stonebrook Pkwy
Ste 300
Frisco, TX 75034
Phone (469) 403-2022

8845 Gary Burns Dr
Ste 100
Frisco, TX 75034
Phone (469) 403-2090

3001 S Hardin Blvd
Ste 120
McKinney, TX 75070
Phone (469) 748-3055

3241 S Custer Rd
Ste 101
McKinney, TX 75070

3520 W University Dr
Ste 201
McKinney, TX 75071
Phone (469) 307-5674

4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420

1180 E Prosper Trl
Ste 50
Prosper, TX 75078
Phone (469) 481-3031

210 W Campbell Rd
Richardson, TX 75080
Phone (469) 416-5250

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

15614 Meridian E
Ste 100
Puyallup, WA 98375
Phone (253) 840-5511

15614 Meridian E
Ste 400
Puyallup, WA 98375
Phone (253) 840-5511

Organizations & group practices 4

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1679021521",
    "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": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 MERIDIAN E STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983755100",
            "telephone_number": "253-840-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Campbell Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750803512",
            "country_code": "US",
            "telephone_number": "972-807-9168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JUSTIN-ALLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1281926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.

Verify at the official NPI Registry.