Yarleen Brisel Samalot- Pellot, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115535 Issued in TX

Practice address

4305 S Hulen St
Fort Worth, TX 76109-4917

Phone

(817) 238-3023

NPI assigned

Jul 30, 2015

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth Ray Ruelas Jr

  dba Anchor Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Fort Worth, TX
  • NPI 1245666072

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1295111359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 PATHFINDER TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791008",
            "telephone_number": "787-240-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094917",
            "telephone_number": "817-238-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALOT- PELLOT",
        "first_name": "YARLEEN",
        "middle_name": "BRISEL",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "002622",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam's Club Optical (Sam's Club Optical 30-6244)
• Sam's Club Optical (Sam's Club Optical 30-8210)
• Mirabel Sama, NP
• Thomas Samaan, PT, DPT
• Ramin R Samadi, MD
• Masoud Saman, M.D.
• Serena Alana Samaniego, M.S., CCC-SLP
• Pradeepika Nelumdni Samaranayake
• Emily Samari Stewart, APRN, NNP-BC
• Balaguru Kolandavelo Sambandam, M.D.

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.