Active NPI
Leonell Leonardo Mendez, OTA
- Occupational Therapy Assistant
- Miami, FL
National Provider Identifier
1003106055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA11060
- Practice address
- 2525 SW 75TH Ave
Miami, FL 33155-2800 - Phone
- (305) 260-6800
- Fax
- (305) 267-1841
- NPI assigned
- Apr 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA11060 | FL | Primary |
Addresses
Primary practice location
2525 SW 75TH Ave
Miami, FL 33155-2800
Mailing address
2525 SW 75TH Ave
Miami, FL 33155-2800
Phone (305) 260-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA11060 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1003106055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 SW 75TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331552800",
"telephone_number": "305-260-6800",
"fax_number": "305-267-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 SW 75TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331552800",
"telephone_number": "305-260-6800",
"fax_number": "305-267-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "LEONELL",
"middle_name": "LEONARDO",
"name_prefix": "Mr.",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA11060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.