Edith Mendoza

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA17942 Issued in FL

Practice address

700 John Ringling Blvd
Sarasota, FL 34236-1542

Phone

(941) 365-2600

NPI assigned

Aug 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Edith Mendoza Coronel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1033940788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MARLAND CT",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752740",
            "telephone_number": "315-263-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 JOHN RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342361542",
            "telephone_number": "941-365-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "EDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "MENDOZA CORONEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa H. Hammond, O.D., P.a.
• Lauren Mellor, M.A.
• Frank Melo, M.D.
• Jeffrey Meltzer
• Cindy Mendez
• Jaime Mendoza Jr., OTR
• Lyna Mary Menezes, DPT
• Meng Meng
• Mengelberg Dental Arts. Inc
• John Ernest Mengelberg, DMD

• Occupational Therapy Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.