Active NPI
Jaime Mendoza Jr., OTR
- Occupational Therapist
- Sarasota, FL
National Provider Identifier
1720866627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT24551
- Practice address
- 3406 27TH Pkwy
Sarasota, FL 34235-8004 - Phone
- (941) 879-6168
- NPI assigned
- Sep 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | OT24551 | FL | Primary |
Addresses
Primary practice location
3406 27TH Pkwy
Sarasota, FL 34235-8004
Mailing address
3406 27TH Pkwy
Sarasota, FL 34235-8004
Phone (941) 879-6168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1297 US Hwy 27 N
Lake Placid, FL 33852-7907
Phone (800) 380-9153
5612 26TH St W
Bradenton, FL 34207-3515
Phone (800) 380-9153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT24551 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Ap Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1720866627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 27TH PKWY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342358004",
"telephone_number": "941-879-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 27TH PKWY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342358004",
"telephone_number": "941-879-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JAIME",
"name_suffix": "Jr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT24551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.