Paul P Mendiola, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3057 Issued in AZ

Practice address

1951 W 25TH St
Suite C
Yuma, AZ 85364-6925

Phone

(928) 726-7900

Fax

(928) 726-7901

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality Rehabilitation Network Inc

  • Physical Therapist
  • Yuma, AZ
  • NPI 1427275015
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1023023405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6956",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853666956",
            "telephone_number": "928-343-7911",
            "fax_number": "928-343-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 25TH ST",
            "address_2": "SUITE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646925",
            "telephone_number": "928-726-7900",
            "fax_number": "928-726-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "PAUL",
        "middle_name": "P",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803909",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Mejia
• Mark Donald Melde, D.M.D.
• Karen Melendrez
• Aletze Sarahi Mena
• Eva Mendez-Counts, LAC
• Christina Mendoza, BS
• Denisse Mendoza
• Krystina Mendoza
• Mentally Ill Kids in Distress
• Josefina Samonte Mercado Chavez, BSFN, MSN

• Occupational Therapist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.