Active NPI
Justin-Allen Mendoza, DPT
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1281926
- Practice address
- 15614 Meridian E Ste 100
Puyallup, WA 98375-5100 - Phone
- (253) 840-5511
- NPI assigned
- Sep 20, 2016
- Last updated
- Apr 8, 2025
- 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 | 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
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
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 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1281926 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy LLC | Physical Therapist | 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 | |
| Apple Physical Therapy, LLC | Physical Therapist | Current | 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.
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- 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": "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.