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Theresa Menditto is one of 297 physical therapists practicing in Southlake, Texas .
Theresa Menditto practices with Texas Health Back Care.
Registry record (NPPES)
NPI
1760839666
Type
Type 1 · Individual
Primary taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Address on file
1126 W Pioneer Pkwy Arlington, TX 76013-6367 (817) 795-1291
Enumerated
May 20, 2016
Record last updated
Mar 2, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysical Therapist in Private Practice
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1545 E Southlake Blvd
Southlake , TX 76092
(817) 748-8701
1545 E Southlake Blvd Suite 100
Southlake , TX 76092
(682) 651-1908
More physical therapists in Southlake
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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