Sophia Mendoza, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010325 Issued in IL

Practice address

6609 N Sacramento Ave
Chicago, IL 60645-4216

Phone

(773) 593-3454

NPI assigned

Feb 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Time Being Therapy LLC

  • Occupational Therapist
  • Chicago, IL
  • NPI 1992549588
  Medicare reassignment NPD Authorized official
• Julie Herr & Associates

  • Developmental Therapist
  • Chicago, IL
  • NPI 1598189508
  NPD (past)

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1235553785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 N SACRAMENTO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454216",
            "telephone_number": "773-593-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 N SACRAMENTO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454216",
            "telephone_number": "773-593-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2032 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606121502",
            "country_code": "US",
            "telephone_number": "773-593-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SOPHIA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramil Mendoza, PT
• Rebecca Mendoza, MPT
• Ricardo Y Mendoza, DDS., MS
• Richard Mendoza, MA
• Sandra Mendoza, RDH
• Alaina Mendralla
• Mendwell Woundcare LLC
• Komaria Mendy
• Paul Mendyk, PHARMD
• John Meneghini, RBT-17-29037

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.