ESTEVAN MENDIOLA (PT, DPT) – Physical Therapist, NPI 1114623758

ESTEVAN MENDIOLA (PT, DPT) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1365402 (TX). The NPI Number for ESTEVAN MENDIOLA (PT, DPT) is 1114623758

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ESTEVAN MENDIOLA (PT, DPT)
NPI
1114623758
Phone
(210) 647-1167
Address
10415 STATE HIGHWAY 151 STE 101
Enumeration Date
6 February 2023
Last Update Date
6 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104785486
Graduation Year
2022 (4 years ago)
PAC ID
8729451661
Group Practice PAC ID
9335164474
Professional Enrollment ID
I20230224000162
Address ID
TX782405006SA4944XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for ESTEVAN MENDIOLA (PT, DPT)

  • 10415 STATE HIGHWAY 151 STE 101

    SAN ANTONIO, TX 782514553

    Phone: (210) 647-1167

    Fax: (210) 479-3338

    Type: Mailing

  • 16530 HUEBNER RD STE 119

    SAN ANTONIO, TX 782481699

    Phone: (210) 479-3334

    Fax: (210) 479-3338

    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: 2023-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230224000162IPhysical Therapist In Private PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78251)

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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: 9335164474View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does ESTEVAN MENDIOLA (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ESTEVAN MENDIOLA (PT, DPT) uses 1114623758.
Can I rely on ESTEVAN MENDIOLA (PT, DPT) being an active provider?
As of the registry snapshot, ESTEVAN MENDIOLA (PT, DPT) is marked active.
What is ESTEVAN MENDIOLA (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for ESTEVAN MENDIOLA (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What area does ESTEVAN MENDIOLA (PT, DPT) serve?
ESTEVAN MENDIOLA (PT, DPT)'s listing highlights San Antonio, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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