Tracey Mendez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1114 Main St
Waltham, MA 02451-7430

Phone

(617) 217-8132

NPI assigned

May 7, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1245088087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CIRCLE DR",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525747",
            "telephone_number": "617-217-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517430",
            "telephone_number": "617-217-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "TRACEY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Mello, OTR/L
• Vanessa Mena-Gibson, LICSW
• Kameron Mendes, LMHC
• Niane Mendes
• Kristen Mendez, CPHT
• Damian D. Meola, D.M.D.
• John D Meola Jr., DDS
• Evonne Meranus, MSW
• Kelsey Mercado, PHD
• Dimple Merchant, OT

• Occupational Therapy Assistant in Waltham, MA
• Providers in Waltham, MA by specialty
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.