Active NPI
Rochelle Jillian Mendonca, PHD, OTR/L
- Environmental Modification Occupational Therapist
- New York, NY
National Provider Identifier
1689248742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- License
- 025635
- Practice address
- 617 W 168TH St RM 312
New York, NY 10032-3925 - Phone
- (414) 412-1280
- NPI assigned
- May 13, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | 025635 | NY | Primary |
| Ergonomics Occupational Therapist | 225XE1200X | 025635 | NY | |
| Human Factors Occupational Therapist | 225XH1300X | 025635 | NY | |
| Gerontology Occupational Therapist | 225XG0600X | 025635 | NY | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 025635 | NY |
Addresses
Primary practice location
617 W 168TH St RM 312
New York, NY 10032-3925
Mailing address
617 W 168TH St RM 350
New York, NY 10032-3925
Phone (212) 304-6383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M25166607155801 | Other | NJ | DMV |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025635 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1689248742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 W 168TH ST RM 350",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323925",
"telephone_number": "212-304-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 W 168TH ST RM 312",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323925",
"telephone_number": "414-412-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDONCA",
"first_name": "ROCHELLE",
"middle_name": "JILLIAN",
"name_prefix": "Dr.",
"credential": "PHD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "NY",
"license": "025635",
"primary": true
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "NY",
"license": "025635",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "NY",
"license": "025635",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NY",
"license": "025635",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "NY",
"license": "025635",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMV",
"identifier": "M25166607155801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.