Individual provider Active NPI

Beth Mendez, COTA/L

  • Driving and Community Mobility Occupational Therapy Assistant
  • Geneva, OH
National Provider Identifier
1659926517
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational Therapy AssistantTaxonomy code 224ZR0403X
License
OTA.04158 Issued in OH
Practice address
200 Commerce PL
Geneva, OH 44041-1948
Phone
(440) 466-1770
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X OTA.04158 OH Primary

Addresses

Primary practice location

200 Commerce PL
Geneva, OH 44041-1948

Mailing address

706 S Nearing Cir
Geneva, OH 44041-1741

Other practice location 1

3720 N Ridge Rd W
Ashtabula, OH 44004-6366
Phone (440) 261-3100

Other practice location 2

2041 Hubbard Rd
Madison, OH 44057-2565
Phone (440) 428-2664

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
OTA.04158OHMDDriving and Community Mobility Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1659926517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S NEARING CIR",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMERCE PL",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411948",
            "telephone_number": "440-466-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 N Ridge Rd W",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440046366",
            "country_code": "US",
            "telephone_number": "440-261-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Hubbard Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "OH",
            "postal_code": "440572565",
            "country_code": "US",
            "telephone_number": "440-428-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "BETH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "OH",
            "license": "OTA.04158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.