Bespoke Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BESPOKE THERAPY LLC

Practice address

19602 Aventine Plantation Dr
Katy, TX 77449-2689

Phone

(832) 490-0210

Fax

(713) 489-4056

NPI assigned

May 15, 2025

Last updated

May 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mirelys D Arci Bencomo

Title

Ceo

Phone

(832) 490-0210

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wenndy P Dicesare, MS-SLP

  • Speech-Language Pathologist
  • Katy, TX
  • NPI 1447346176
  Medicare reassignment NPD
• Kripa Krishnan

  • Speech-Language Pathologist
  • Rosenberg, TX
  • NPI 1154690808
  Medicare reassignment NPD
• Kelley Denise Nettles, SLP

  • Speech-Language Pathologist
  • Klein, TX
  • NPI 1316675937
  Medicare reassignment NPD
• Susan Marie Scoggins, M.ED. CCCSLP

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1891845574
  Medicare reassignment NPD

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1295526416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19602 AVENTINE PLANTATION DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492689",
            "telephone_number": "832-490-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19602 AVENTINE PLANTATION DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492689",
            "telephone_number": "832-490-0210",
            "fax_number": "713-489-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "ARCI BENCOMO",
        "authorized_official_first_name": "MIRELYS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-490-0210"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan S Berteaux, DMD
• Ann Marie Bertles, MD
• Kimberly C. Bertrand, O.D.
• Divyesh Besherdas
• Bespoke Adaptive Life
• Best Fit Psychology PLLC
• Best Surgical Services
• Bestin Medical Group Inc .
• Ijeoma Bethel, DNP, FNP-C
• Garrett Andrew Bethke, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.