Active NPI
Luz Maria Mendoza, O.T
- Occupational Therapist
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT6348
- 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, 2022
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT6348 | Other | FL | OCC THERAPYST LICENSE |
| 887169800 | Medicaid | FL |
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 |
|---|---|---|---|
| OT6348 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gama Rehab Services, Inc | Current | Accepting new patients | |
| Gama Rehab Services, Inc | Occupational Therapist | Current | 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.
-
- Early Intervention Provider Agency
- Miami Lakes, FL
- NPI 1104358266
-
- Occupational Therapist
- Hialeah, FL
- NPI 1720277916
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.