Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROY MENDIZABAL
NPI 1639917719
Physical Therapist in Dalton, GA

Active since July 15, 2024Accepts Medicare Assignment
1343 W WALNUT AVE, DALTON, GA 30720(706) 913-8201(706) 459-3646 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Sep 22, 2026, Jul 15, 2024 (3 updates tracked since 2024).

About Roy Mendizabal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROY MENDIZABAL (NPI 1639917719) is an individual physical therapist in Dalton, Georgia and active in the NPI registry since July 2024. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1639917719
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameROY MENDIZABAL
Location Address1343 W WALNUT AVEDalton, GA 30720-3857
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211 · (630) 296-2222
Fax(706) 459-3646
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 15, 2024
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1639917719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1343 W WALNUT AVE, Dalton, GA 30720

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roy Mendizabal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507304961
PECOS Enrollment IDI20260612000100

Medicare Billing Reassignments

2

Medicare enrollment records show Roy Mendizabal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
2125 NORTHPOINT BLVD
Hixson, TN 37343
  • Reassigned Medicare billing, Georgia enrollment
  • 75 clinicians in this Medicare group
Physical Therapist
76359 AL HIGHWAY 77, SUITE B
Lincoln, AL 35096
  • Reassigned Medicare billing, Alabama enrollment
  • 136 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
136 services13 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
106 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1343 W WALNUT AVE
DALTON, GA 30720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roy Mendizabal's NPI number?

The NPI number for Roy Mendizabal is 1639917719. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Roy Mendizabal located?

Roy Mendizabal practices at 1343 W Walnut Ave, Dalton, GA 30720. The listed phone number is (706) 913-8201.

What is Roy Mendizabal's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Roy Mendizabal enrolled in Medicare?

Yes. Roy Mendizabal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roy Mendizabal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Mendizabal reassigns Medicare benefits to 2 organizations: Mcm Rehabilitation, LLC. (Hixson, TN) and Ati Holdings Of Alabama, LLC (Lincoln, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Mendizabal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Mendizabal accept?

Health plans from Blue Cross and Blue Shield of Alabama list Roy Mendizabal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roy Mendizabal was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.