Active NPI
Eduardo Mendoza Jr., PT
- Physical Therapist
- Helotes, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1208146
- Practice address
- 12952 Bandera Rd Ste 107
Helotes, TX 78023-4733 - Phone
- (210) 372-9600
- Fax
- (210) 372-0211
- NPI assigned
- Jul 5, 2011
- 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 | 1208146 | TX | Primary |
Addresses
Primary practice location
12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Mailing address
12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone (210) 372-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120808000367 | TX | Practitioner - Physical Therapist in Private Practice | 7810143773 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHS Physicians Network, Inc
Practice addresses (Care Compare)
8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1208146 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Momentum Physical & Sports Rehabilitation Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Momentum Physical & Sports Rehabilitation Limited Partnership | Physical Therapist | Current | Accepting new patients |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
8627 Cinnamon Creek Dr
Ste 402
San Antonio, TX 78240
Phone (210) 372-9600
10555 Culebra Rd
Ste 103
San Antonio, TX 78251
Phone (210) 888-6042
5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888
8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone 2104775151 ext. 108
18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108
Interoperability endpoints
- eduardo.mendoza.1@1438.direct.athenahealth.com
Organizations & group practices 20
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.
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- Physical Therapist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1740577253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12952 BANDERA RD STE 107",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234733",
"telephone_number": "210-372-9600",
"fax_number": "210-372-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12952 BANDERA RD STE 107",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234733",
"telephone_number": "210-372-9600",
"fax_number": "210-372-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "EDUARDO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1208146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.