Theresa Menditto, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

3119467 Issued in TX

Practice address

1126 W Pioneer Pkwy
Arlington, TX 76013-6367

Phone

(817) 795-1291

NPI assigned

May 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Back CareGroup PAC ID 1951604313, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texas Health Back Care

  • Physical Medicine & Rehabilitation Physician
  • Rockwall, TX
  • NPI 1811366982
  Medicare reassignment Care Compare group NPD
• Texas Health Back Care

  • Physical Medicine & Rehabilitation Physician
  • Southlake, TX
  • NPI 1770952830
  NPD
• Epic Pediatric Therapy, LP.

  • Rehabilitation Clinic/Center
  • Arlington, TX
  • NPI 1013163377
  NPD (past)

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1760839666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NE LOOP 280",
            "address_2": "BUSINESS TOWER 1 SUITE 200",
            "city": "HURTS",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136367",
            "telephone_number": "817-795-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDITTO",
        "first_name": "THERESA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "3119467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stt@116.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "1126 W Pioneer Pkwy",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760136367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Memms Counseling
• Mena Transportation Inc
• Michael Mendelson, M.D.
• Alexandra Mendez
• Mending Hearts Home Care Agency
• Charmaine V Mendoza, PT
• Samantha Mendoza
• Theodore Bulacan Mendoza III, FNP-BC
• Sarah Mensah-Taylor
• Mental Health Consultants of Texas

• Pediatric Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.