Individual provider Active NPI

Luz Maria Mendoza, O.T

  • Occupational Therapist
  • Miami Lakes, FL
National Provider Identifier
1568492437
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6348 Issued in FL
Practice address
14411 Commerce Way Ste 230
Miami Lakes, FL 33016-1598
Phone
(305) 625-8844
Fax
(305) 995-0906
NPI assigned
Jul 4, 2006
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT6348 FL Primary

Addresses

Primary practice location

14411 Commerce Way Ste 230
Miami Lakes, FL 33016-1598

Mailing address

14411 Commerce Way Ste 230
Miami Lakes, FL 33016-1598
Phone (305) 803-3165

Other practice location 1

18300 NW 62nd Ave
Suite 210
Miami Gardens, FL 33015-8200
Phone (305) 474-4960

Other identifiers 2

IdentifierTypeStateIssuer
OT6348OtherFLOCC THERAPYST LICENSE
887169800MedicaidFL

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

LicenseStateTypeSpecialty
OT6348FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gama Rehab Services, Inc CurrentSince Aug 28, 2022 Accepting new patients
Gama Rehab Services, Inc Occupational Therapist CurrentSince Sep 20, 2022 Accepting new patients

Locations

18300 NW 62nd Ave
Ste 210
Miami Gardens, FL 33015
Phone (305) 474-4960

14411 Commerce Way
Ste 230
Miami Lakes, FL 33016
Phone (305) 625-8844

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1568492437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 230",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161598",
            "telephone_number": "305-803-3165",
            "fax_number": "305-397-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 230",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161598",
            "telephone_number": "305-625-8844",
            "fax_number": "305-995-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18300 NW 62nd Ave",
            "address_2": "SUITE 210",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330158200",
            "country_code": "US",
            "telephone_number": "305-474-4960",
            "fax_number": "305-474-4962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LUZ",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "O.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT6348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCC THERAPYST LICENSE",
            "identifier": "OT6348",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887169800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.