BERNADETTE MENDOZA (NPI# 1174050710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174050710 |
| Entity Type | Individual |
| Full Name | BERNADETTE MENDOZA |
| Credential | COTA/L |
| Practice Address |
50 N Malin Rd Broomall PA 19008-1429 |
| Mailing Address |
4110 Rosemont Ave Drexel Hill PA 19026-3616 |
| Practice Telephone | 6103560800 |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2017-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696503 | Bernadette Mendoza | Case Manager/Care Coordinator | 170 Wilkerson Ave Ste Candd, Perris, CA 92570-2200 | 2020-07-17 |
| Street Address |
50 N MALIN RD |
| City | BROOMALL |
| State | PA |
| Zip Code | 19008-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245327428 | Thi of Pennsylvania At Broomall, LLC | Skilled Nursing Facility | 50 N Malin Rd, Broomall, PA 19008-1429 | 2006-10-07 |
| 1992327225 | Jillian Fink | Dietitian, Registered | 50 N Malin Rd, Broomall, PA 19008-1498 | 2020-05-08 |
| 1316581531 | Kristen Evans-harkins | Physical Therapy Assistant | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-10-30 |
| 1750939823 | Monica Coran | Speech-Language Pathologist | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-08-30 |
| 1518515790 | Forest Daniel Miller | Occupational Therapist | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-08-30 |
| 1952959199 | Lan Hoang | Occupational Therapist | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-08-30 |
| 1316402944 | Rachel Early | Speech-Language Pathologist | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-02-07 |
| 1497210132 | Kaitlyn Murray | Physical Therapist | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-02-06 |
| 1952866899 | Mitchell S Belile | Physical Therapy Assistant | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-02-05 |
| 1255896049 | Anu Dasika | Occupational Therapist | 50 N Malin Rd, Broomall, PA 19008-1429 | 2019-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098964 | Ashley Szewczuk | Occupational Therapy Assistant | 50 Malin Rd., Broomall, PA 19008 | 2019-02-06 |
| 1134647316 | Bernadette Jacobs | Registered Nurse | Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 | 2017-09-07 |
| 1447780549 | Laura Ann Jamison | Physical Therapy Assistant | 50 North Malin Road, Broomall, PA 19008 | 2017-06-13 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1558893024 | Marc Belitsky D.c., .pc. | Clinic/Center | 2633 West Chester Pike, Broomall, PA 19008 | 2017-04-03 |
| 1053773390 | Helen Richman | Pharmacist | 567 Sproul Road, Broomall, PA 19008 | 2016-03-25 |
| 1487028007 | Jenelle Thomas | Social Worker | 85 N. Malin Road, Broomall, PA 19008 | 2015-11-19 |
| 1649654740 | Akeesha M Washington | Counselor | 600 Abbott Drive, Broomall, PA 19008 | 2015-07-17 |
| 1821411976 | Ketrin Kapllani | Behavioral Analyst | 475 Lawrence, Philadelphia, PA 19008 | 2014-01-27 |
| 1710325741 | Joel Christopher Fusunyan-lee | Registered Nurse | 219 Sussex Blvd, Broomall, PA 19008 | 2013-06-12 |
| Find all providers in zip 19008 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013418789 | Elise Rosanio | Occupational Therapist | 307 Columbia Pl, Broomall, PA 19008-2823 | 2018-02-27 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1174051304 | Monica Depaolo | Occupational Therapist | 2651 Summit Ave, Broomall, PA 19008-1922 | 2017-06-01 |
| 1265781355 | Sue Elizabeth Tyson | Occupational Therapist | 146 Marple Road, Broomall, PA 19008 | 2012-09-05 |
| 1376853689 | Patricia Baxter Petralia | Occupational Therapist | 712 Winchester Rd, Broomall, PA 19008-3431 | 2010-10-20 |
| 1336398254 | Lauren Farrell Moran | Occupational Therapist | 369 N Central Blvd, Broomall, PA 19008-3709 | 2008-09-16 |
| 1659559425 | Stephanie L Hill | Occupational Therapist | 420 Westbourne Dr, Broomall, PA 19008-3740 | 2008-02-04 |
| 1215548151 | Megan Blair | Occupational Therapist | 700 Abbott Dr Unit 2, Broomall, PA 19008-4323 | 2020-08-13 |
| 1528689957 | Kerry Rota | Occupational Therapist | 700 Abbott Dr Unit 2, Broomall, PA 19008-4323 | 2020-04-27 |
| 1639713761 | Elizabeth Brooks | Occupational Therapist | 600 Reed Rd, Broomall, PA 19008-3505 | 2019-11-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.