Mecque Fonseca

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60059345 Issued in WA

Practice address

325 S University Rd Ste 101
Spokane Valley, WA 99206-6164

Phone

(509) 921-9798

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youthful Horizons Physical Therapy P SGroup PAC ID 2062301468, 5 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.

• Youthful Horizons Physical Therapy P S

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1699823898
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1659902724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-921-9798",
            "fax_number": "509-921-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-921-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "MECQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60059345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OT60059345",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia M Flynn, DDS
• Michele Lynn Foglia, DMD
• Sarah L Foley
• Kristina Marie Follger, FNP
• Edwin Fonseca, MSW
• Foot & Ankle Clinic of Spokane
• Foot and Ankle Clinic of Spokane Inc
• Foot and Ankle Clinic of Spokane Inc (Surgery Center of Spokane)
• Foot and Ankle Clinic of Spokane Inc (Surgery Center of Spokane)
• Cindy Lee Forbes, LMT

• Occupational Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.