Active NPI
Daniel Cruz Mendiola, OTRL, CHT
- Hand Occupational Therapist
- Olympia, WA
National Provider Identifier
1730380841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT00000867
- Practice address
- 615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117 - Phone
- (360) 413-3850
- Fax
- (360) 359-4726
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT00000867 | WA | Primary |
| Specialist | 174400000X | OT00000867 | WA |
Addresses
Primary practice location
615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117
Mailing address
615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117
Phone (360) 413-3850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8341299 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
615 Lilly Rd NE
Suite 240
Olympia, WA 98506-5117
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.86 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Orthopaedic Associates, PLLC | Current | Accepting new patients | |
| Olympia Orthopaedic Associates PLLC | Specialist | Current | Accepting new patients |
Locations
615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850
Interoperability endpoints
- daniel.mendiola.1@5512.direct.athenahealth.com
- https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4
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.
-
- Ambulatory Surgical Clinic/Center
- Olympia, WA
- NPI 1083785398
Specialist
-
- Durable Medical Equipment & Medical Supplies
- Centralia, WA
- NPI 1134089576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1730380841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 LILLY RD NE STE 240",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065117",
"telephone_number": "360-413-3850",
"fax_number": "360-359-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 LILLY RD NE STE 240",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065117",
"telephone_number": "360-413-3850",
"fax_number": "360-359-4726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIOLA",
"first_name": "DANIEL",
"middle_name": "CRUZ",
"credential": "OTRL, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT00000867",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "OT00000867",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341299",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.