TRAVIS MENDENHALL – Physical Therapist, NPI 1699565135

TRAVIS MENDENHALL is a healthcare provider. based in Georgetown, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 3134315 (TX). The NPI Number for TRAVIS MENDENHALL is 1699565135

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
TRAVIS MENDENHALL
NPI
1699565135
Phone
(512) 843-0118
Address
4881 WILLIAMS DR STE 103
Enumeration Date
8 May 2025
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028029157
Graduation Year
2025 (1 year ago)
PAC ID
3476048521
Group Practice PAC ID
9133438641
Professional Enrollment ID
I20251217000040
Address ID
TX786332438GE4881XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for TRAVIS MENDENHALL

  • 4881 WILLIAMS DR STE 103

    GEORGETOWN, TX 786332438

    Phone: (512) 843-0118

    Fax: (512) 843-0108

    Mailing address matches the actual address.

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: 2025-12-17

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
I20251217000040IPhysical 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 78633)

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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: 9133438641View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How do payers reference TRAVIS MENDENHALL?
For TRAVIS MENDENHALL, use NPI 1699565135 as the unique 10-digit identifier.
Is TRAVIS MENDENHALL shown as active in public data?
Registry records indicate TRAVIS MENDENHALL maintains an active NPI.
What expertise is attributed to TRAVIS MENDENHALL?
TRAVIS MENDENHALL's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Texas is TRAVIS MENDENHALL registered?
Use Georgetown, Texas as the headline location for TRAVIS MENDENHALL here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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