Individual provider Active NPI

Susana Mendiola-Quadreny, OTR-L

  • Occupational Therapist
  • Florida City, FL
National Provider Identifier
1760807267
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15205 Issued in FL
Practice address
1380 N Krome Ave
Suite #110
Florida City, FL 33034-2406
Phone
(305) 247-4464
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT15205 FL Primary

Addresses

Primary practice location

1380 N Krome Ave
Suite #110
Florida City, FL 33034-2406

Mailing address

235 Sidonia Ave
Apt #107
Coral Gables, FL 33134-3281
Phone (786) 449-8283

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
OT15205FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Learn With Therapy, Inc. Past Accepting new patients
Multi-Lingual Speech Group, Inc. Past Accepting new patients

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1760807267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SIDONIA AVE",
            "address_2": "APT #107",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343281",
            "telephone_number": "786-449-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N KROME AVE",
            "address_2": "SUITE #110",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330342406",
            "telephone_number": "305-247-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA-QUADRENY",
        "first_name": "SUSANA",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.