Juan Mendoza, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0000424 Issued in CO

Practice address

7360 W Archer PL
Lakewood, CO 80226-2000

Phone

(720) 432-5826

NPI assigned

May 8, 2015

Last updated

May 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1811375090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 W ARCHER PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 W ARCHER PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262000",
            "telephone_number": "720-432-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JUAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0000424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mellor, FNP
• Raymond Alan Mencini, M.D.
• Aileen Roxanna Mendez
• Gabriella Noel Mendez, BEHAVIOR TECHNICIAN
• Leslie Jacqueline Mendez
• Felicity Mensah-Bonsu
• Megan Mercado
• Diana Sabrina Meredith, BCBA
• Isabella Merg
• Elizabeth Mergens

• Occupational Therapy Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.