Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thaiany A De Mendonca, OTR/L

Individual provider Occupational Therapist · NPI 1104541788

Thaiany A De Mendonca, OTR/L is an Occupational Therapist in Private Practice in Boynton Beach, Florida. Qualified in 2022, 4 years ago. Practices with Sobe Innovative Rehabilitation PLLC, a 181-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

12411 Sand Wedge Dr
Boynton Beach, FL 33437-2057
Phone: (561) 809-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 23530 (FL)

Record details

NPI number1104541788
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 6, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sobe Innovative Rehabilitation Pllc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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