Organization Active NPI

Selyse Ability and Beyond

  • Occupational Therapist
  • Prosper, TX
National Provider Identifier
1376215897
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SELYSE ABILITY AND BEYOND
Practice address
2105 Overton Park Dr
Prosper, TX 75078-1858
Phone
(682) 221-5331
NPI assigned
Oct 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Felisha Renee Drake, OTR
Title
Occupational Therapist
Phone
(682) 221-5331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2105 Overton Park Dr
Prosper, TX 75078-1858

Mailing address

2105 Overton Park Dr
Prosper, TX 75078-1858
Phone (682) 221-5331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1376215897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 OVERTON PARK DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781858",
            "telephone_number": "682-221-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 OVERTON PARK DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781858",
            "telephone_number": "682-221-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELYSE ABILITY AND BEYOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-03",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "682-221-5331",
        "authorized_official_credential": "OTR"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.