THAIANY A DE MENDONCA (OTR/L) – Occupational Therapist, NPI 1104541788

THAIANY A DE MENDONCA (OTR/L) is a healthcare provider. based in Boynton beach, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 23530 (FL). The NPI Number for THAIANY A DE MENDONCA (OTR/L) is 1104541788

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
THAIANY A DE MENDONCA (OTR/L)
NPI
1104541788
Phone
(561) 809-8519
Address
12411 SAND WEDGE DR
Enumeration Date
6 October 2022
Last Update Date
6 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7867709480
Graduation Year
2022 (4 years ago)
PAC ID
2567839814
Group Practice PAC ID
4789994336
Professional Enrollment ID
I20221031000987
Address ID
FL33179XXXXMIXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for THAIANY A DE MENDONCA (OTR/L)

  • 12411 SAND WEDGE DR

    BOYNTON BEACH, FL 334372057

    Phone: (561) 809-8519

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221031000987IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,82256$0
97530Therapy procedure using functional activities1,80657$0
97129Therapy procedure for a range of mental processes, initial 15 minutes28728$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28126$0
97140Therapy procedure using manual technique, each 15 minutes16626$0
View full utilization report →

Insurance plans in this area (ZIP 33437)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789994336View full group profile
NameSpecialtyState
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeNY
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistPR
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does THAIANY A DE MENDONCA (OTR/L) have a public NPI I can cite?
Public records show THAIANY A DE MENDONCA (OTR/L) under NPI 1104541788.
Is THAIANY A DE MENDONCA (OTR/L) currently accepting referrals based on NPI status?
Registry metadata lists THAIANY A DE MENDONCA (OTR/L) as active.
How should patients interpret THAIANY A DE MENDONCA (OTR/L)'s specialty?
The extract shows Occupational Therapist for THAIANY A DE MENDONCA (OTR/L). Clinical services aligned with this taxonomy classification.
Can patients visit THAIANY A DE MENDONCA (OTR/L) in Boynton Beach, Florida?
For routing, start with Boynton Beach, Florida for THAIANY A DE MENDONCA (OTR/L), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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