Active NPI
Jamie M. Mendoza, OTR/L
- Hand Occupational Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT5817
- Practice address
- 4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837 - Phone
- (719) 632-7669
- Fax
- (719) 632-0088
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT5817 | CA | Primary |
Addresses
Primary practice location
4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837
Mailing address
1120 Trek Trail HTS Apt 208
Colorado Springs, CO 80921-4515
Phone (858) 922-5402
Other practice location 1
1259 Lake Plaza Dr Ste 100
Colorado Springs, CO 80906-3542
Phone (719) 632-7669
Other names 1
- Jamie M. Leeser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1259 Lake Plaza Dr
Suite 100
Colorado Springs, CO 80906-3542
Phone (719) 632-7669
4110 Briargate Pkwy
Suite 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 70.6
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5817 | CA | MD | Acupuncturist |
| OT5817 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Springs Orthopaedic Group | Current | Accepting new patients | |
| Colorado Springs Orthopaedic Group | Current | Accepting new patients | |
| Colorado Springs Orthopaedic Group | Current | Accepting new patients | |
| Barbara Jean Boutelle Carlsbad Physical Therapy | Occupational Therapist | Past | Accepting new patients |
| Barbara Jean Boutelle Carlsbad Physical Therapy | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Locations
1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335
4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329
1655 Quail Lake Loop
Colorado Springs, CO 80906
Phone (719) 417-4931
Organizations & group practices 6
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.
-
- Specialist
- Colorado Springs, CO
- NPI 1972578359
-
- Specialist
- Colorado Springs, CO
- NPI 1356317135
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1417957275
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Physical Therapist
- Oceanside, CA
- NPI 1255007050
-
- Physical Therapist
- San Diego, CA
- NPI 1699723098
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1336198738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 TREK TRAIL HTS APT 208",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809214515",
"telephone_number": "858-922-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 BRIARGATE PKWY STE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207837",
"telephone_number": "719-632-7669",
"fax_number": "719-632-0088"
}
],
"practiceLocations": [
{
"address_1": "1259 Lake Plaza Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809063542",
"country_code": "US",
"telephone_number": "719-632-7669",
"fax_number": "719-632-0088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "JAMIE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT5817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "LEESER",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.