Individual provider Active NPI

Maria Mendoza, OTR/CHT

  • Occupational Therapist
  • Lafayette, LA
National Provider Identifier
1083156731
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT. Z12099 Issued in LA
Practice address
120 Rue Chavaniac
Lafayette, LA 70508-7312
Phone
(337) 739-9753
NPI assigned
Nov 11, 2016
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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 OTT. Z12099 LA Primary

Addresses

Primary practice location

120 Rue Chavaniac
Lafayette, LA 70508-7312

Mailing address

120 Rue Chavaniac
Lafayette, LA 70508-7312
Phone (337) 739-9753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103000848 LA Practitioner - Occupational Therapist in Private Practice 5193006237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laborde Therapy Center LLCGroup PAC ID 2668469545, 13 clinicians

Practice addresses (Care Compare)

2727 Kaliste Saloom Rd
Suite 101
Lafayette, LA 70508-7164
Phone (337) 981-4053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTT. Z12099LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laborde Therapy Center LLC Occupational Therapist CurrentSince Dec 1, 2016 Accepting new patients
Laborde Hand and Occupational Therapy Center Occupational Therapist PastSince Dec 1, 2016 Accepting new patients

Locations

3500 NE Evangeline Trwy
Ste A
Carencro, LA 70520
Phone (337) 981-4053

2443 Rice Capital Pkwy
Ste C
Crowley, LA 70526
Phone (337) 981-4053

2727 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 981-4053

1231 David Dr
Morgan City, LA 70380
Phone (985) 385-3222

106 Oceans Blvd
Youngsville, LA 70592
Phone (337) 451-2468

120 Waterview Rd
Ste 101
Youngsville, LA 70592

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1083156731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RUE CHAVANIAC",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087312",
            "telephone_number": "337-739-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RUE CHAVANIAC",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087312",
            "telephone_number": "337-739-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT. Z12099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.