Active NPI
Sharon Lee Mendez, OTR
- Occupational Therapist
- Friendship, WI
National Provider Identifier
1275823262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3164-26
- Practice address
- 201 S Park Ave
Friendship, WI 53934-9377 - Phone
- (608) 339-3361
- Fax
- (608) 339-9468
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3164-26 | WI | Primary |
Addresses
Primary practice location
201 S Park Ave
Friendship, WI 53934-9377
Mailing address
N1502 Southern Rd
Lyndon Station, WI 53944-9771
Phone (608) 547-8972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3164-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1275823262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1502 SOUTHERN RD",
"city": "LYNDON STATION",
"state": "WI",
"postal_code": "539449771",
"telephone_number": "608-547-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S PARK AVE",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "539349377",
"telephone_number": "608-339-3361",
"fax_number": "608-339-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "SHARON",
"middle_name": "LEE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3164-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friendship, WI
- Joseph J Lachica, M.D.
- Luann M. Livingston, OTR
- Rayan M Lungba, M.B.B.S
- Carmen Jean Magee, SLP
- Emma Masiulewicz, DPT
- Trevor J Meyer, LPC-IT
- Mile Bluff Clinic, LLP
- Mary H. Moll, PT
- Moundview Memorial Hospital & Clinics, Inc (Gundersen Moundview Hospital and Clinics, Inc.)
- Moundview Memorial Hospital & Clinics, Inc (Gundersen Moundview Hospital and Clinics, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.