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

Organization subpart

No

Name

Mirelys D Arci Bencomo

Title

Ceo

Phone

(832) 490-0210

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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

Medicare fee-for-service enrollment

Enrolled in TX

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2025.

{
    "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.

• All providers in Katy, TX
• 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.