Michelle Mendiola Rolle-Roda, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2467 Issued in CA

Practice address

275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238

Phone

(909) 567-2221

Fax

(909) 763-3216

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Transit Physical Therapy PCGroup PAC ID 3274899315, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transit Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Bernardino, CA
  • NPI 1417485889

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1457924805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 RED BIRD CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742797",
            "telephone_number": "909-855-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE-RODA",
        "first_name": "MICHELLE",
        "middle_name": "MENDIOLA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT2467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Roldan Beltran
• Anthony Evan Roldan
• Gizelle Roldan, ASW
• Jethrone Role, MSN, RN
• Lois Kathleen Rolla
• Rolling Start Inc.
• Elsie Renee Rollins
• Edgar Omar Roman
• Kaery Romero Fontecha
• Jaqueline Romero Mendoza

• Occupational Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.