Taylor Brianna Zalesky, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118081 Issued in TX

Practice address

2425 E Southlake Blvd Ste 100
Southlake, TX 76092-6675

Phone

(817) 442-0222

Fax

(817) 442-0223

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediaplex Management Company LLC

  • Speech-Language Pathologist
  • Southlake, TX
  • NPI 1821374687
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1154832343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926675",
            "telephone_number": "817-442-0222",
            "fax_number": "817-442-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926675",
            "telephone_number": "817-442-0222",
            "fax_number": "817-442-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALESKY",
        "first_name": "TAYLOR",
        "middle_name": "BRIANNA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Elle Young, LPC, RPT
• Richard Dwayne Young II, LCSW
• Tiffany Catheryn Young, LPC, LMFT
• Your Therapy Source
• Michelle Yung
• Zanella Optometry, PLLC
• Deborah Zanella, O.D.
• Peter Joseph Zanella Jr., OD
• Viktoria Zatkalik, NP-C
• Zenvion Medical LLC

• Occupational Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.