Individual provider Active NPI

Elena Mendez-Hutchinson, OT

  • Occupational Therapist
  • Prince Frederick, MD
National Provider Identifier
1043450752
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06232 Issued in MD
Practice address
120 Hospital Rd
Suite 100
Prince Frederick, MD 20678-4022
Phone
(410) 535-8180
Fax
(410) 535-8325
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 06232 MD Primary

Addresses

Primary practice location

120 Hospital Rd
Suite 100
Prince Frederick, MD 20678-4022

Mailing address

120 Hospital Rd
Suite 100
Prince Frederick, MD 20678-4022
Phone (410) 535-8180

Other identifiers 1

IdentifierTypeStateIssuer
406409700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000029 MD Practitioner - Occupational Therapist in Private Practice 2961569645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Center IncGroup PAC ID 2668370065, 18 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4029
Phone (410) 535-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06232MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Center, Inc. Occupational Therapist CurrentSince Jul 1, 2016 Accepting new patients
Calverthealth Medical Center, Inc. Occupational Therapist Current Accepting new patients
Calverthealth Medical Center, Inc. Occupational Therapist CurrentSince Jul 1, 2016 Accepting new patients
Calverthealth Medical Center, Inc. Past Accepting new patients

Locations

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

130 Hospital Rd
Ste 103
Prnc Frederck, MD 20678
Phone (410) 535-8180

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1043450752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL RD",
            "address_2": "SUITE 100",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784022",
            "telephone_number": "410-535-8180",
            "fax_number": "410-535-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL RD",
            "address_2": "SUITE 100",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784022",
            "telephone_number": "410-535-8180",
            "fax_number": "410-535-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-HUTCHINSON",
        "first_name": "ELENA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406409700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.