MIKE A MENDIOLA (BS) – Physical Therapist, NPI 1144361015

MIKE A MENDIOLA (BS) is a healthcare provider. based in Ooltewah, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials BS. They hold a License No. 070012819 (IL). The NPI Number for MIKE A MENDIOLA (BS) is 1144361015

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MIKE A MENDIOLA (BS)
NPI
1144361015
Phone
(423) 238-7217
Address
8823 PRODUCTION LN
Enumeration Date
12 February 2007
Last Update Date
24 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8168731101
Graduation Year
2001 (25 years ago)
PAC ID
9133385875
Group Practice PAC ID
9830344563
Professional Enrollment ID
I20150423002432
Address ID
MO640898381SM14802CXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

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Provider Addresses for MIKE A MENDIOLA (BS)

  • 8823 PRODUCTION LN

    OOLTEWAH, TN 373636511

    Phone: (423) 238-7217

    Fax: (423) 238-3473

    Type: Mailing

  • 1004, Progress Drive, Lansing, Leavenworth County, Kansas, 66043, United States

    STE 100

    LANSING, KS 660436326

    Phone: (913) 351-3838

    Fax: (913) 351-3939

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150422001072IPhysical Therapist In Private PracticeKSTBD
I20150423002432IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes95255$0
97140Therapy procedure using manual technique, each 15 minutes14532$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12729$0
97150Therapy procedure in a group setting11320$0
97530Therapy procedure using functional activities9121$0
View full utilization report →

Insurance plans in this area (ZIP 37363)

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Provider's Procedures

MIKE A MENDIOLA (BS) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYKS97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes91775
PHYSICAL THERAPYKS97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes22356

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830344563View full group profile
NameSpecialtyState
-TN
-TN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
-TN
-MO
-TN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

Does MIKE A MENDIOLA (BS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MIKE A MENDIOLA (BS) uses 1144361015.
Can I rely on MIKE A MENDIOLA (BS) being an active provider?
As of the registry snapshot, MIKE A MENDIOLA (BS) is marked active.
What taxonomy line describes MIKE A MENDIOLA (BS)?
For research purposes, treat MIKE A MENDIOLA (BS) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does MIKE A MENDIOLA (BS) list a practice location?
Patients near Ooltewah, Tennessee may find MIKE A MENDIOLA (BS) in results; validate coverage separately.
Is the information about MIKE A MENDIOLA (BS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."