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

Roy Mendizabal

Individual provider Physical Therapist · NPI 1639917719

Roy Mendizabal is a Physical Therapist in Private Practice in Dalton, Georgia. Qualified in 2018, 8 years ago. Practices with Ati Holdings of Alabama LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1343 W Walnut Ave
Dalton, GA 30720-3857
Phone: (706) 913-8201
Fax: (706) 459-3646
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (GA)

Record details

NPI number1639917719
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ati Holdings Of Alabama Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dalton