Individual provider Active NPI

Joshua B Mendoza, DPT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1679905459
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208123 Issued in VA
Practice address
4613 Duke St Ste B
Alexandria, VA 22304-2559
Phone
(703) 751-1052
Fax
(703) 751-1053
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38495 FL
Physical Therapist 225100000X 2305208123 VA Primary

Addresses

Primary practice location

4613 Duke St Ste B
Alexandria, VA 22304-2559

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

9100 Merrill Rd Ste 10
Jacksonville, FL 32225-4349
Phone (904) 725-9994

Other practice location 2

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7251

Other practice location 3

8266 Atlee Rd
Suite 133PT
Mechanicsville, VA 23116-1804
Phone (804) 569-1665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131112001118 VA Practitioner - Physical Therapist in Private Practice 9234365701 Reassigns benefits to 2 organizations
I20260608003747 DC Practitioner - Physical Therapist in Private Practice 9234365701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

1600 Wilson Blvd
Suite 102
Arlington, VA 22209-2505
Phone (703) 935-1996

4613 Duke St
Suite B
Alexandria, VA 22304-2559
Phone (703) 751-1052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38495FLMDPhysical Therapist
2305208123VAMDPhysical Therapist

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1679905459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 DUKE ST STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042559",
            "telephone_number": "703-751-1052",
            "fax_number": "703-751-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Merrill Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322254349",
            "country_code": "US",
            "telephone_number": "904-725-9994",
            "fax_number": "904-725-9138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164312",
            "country_code": "US",
            "telephone_number": "904-345-7251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8266 Atlee Rd",
            "address_2": "Suite 133PT",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231161804",
            "country_code": "US",
            "telephone_number": "804-569-1665",
            "fax_number": "804-569-1628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JOSHUA",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38495",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.