Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeron Mendoza, DPT

Individual provider Orthopedic Physical Therapist · NPI 1194105924

Jeron Mendoza, DPT is a Physical Therapist in Private Practice in Haymarket, Virginia. Qualified in 2015, 11 years ago. Practices with Orthovirginia Inc, a 570-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

15195 Heathcote Blvd Ste 334
Haymarket, VA 20169-6244
Phone: (703) 334-5405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2305209466 (VA)

Record details

NPI number1194105924
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 7, 2015
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing addressPo Box 715868, Philadelphia, PA 19171-2626

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount