Active NPI
Erica Mendoza, OTR
- Occupational Therapist
- Round Rock, TX
National Provider Identifier
1912486911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112973
- Practice address
- 4105 Teravista Club Dr
Round Rock, TX 78665-1525 - Phone
- (512) 310-3700
- NPI assigned
- Aug 9, 2018
- Last updated
- Aug 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 112973 | TX | Primary |
Addresses
Primary practice location
4105 Teravista Club Dr
Round Rock, TX 78665-1525
Mailing address
3505 Eagle Way
Round Rock, TX 78681-1773
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112973 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1912486911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 EAGLE WAY",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786811773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 TERAVISTA CLUB DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651525",
"telephone_number": "512-310-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "ERICA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.