Active NPI
Cassidy Deflice
- Occupational Therapist
- Richardson, TX
National Provider Identifier
1487488235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124818
- Practice address
- 2201 N Central Expy Ste 110
Richardson, TX 75080-2718 - Phone
- (214) 265-1819
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 124818 | TX | Primary |
Addresses
Primary practice location
2201 N Central Expy Ste 110
Richardson, TX 75080-2718
Mailing address
160 Knoll TRL
Gunter, TX 75058-3153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124818 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lissa D. Mills, Inc | Past | Accepting new patients | |
| Allison'S Therapy Corner, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Richardson, TX
- NPI 1477639201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1487488235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 KNOLL TRL",
"city": "GUNTER",
"state": "TX",
"postal_code": "750583153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 N CENTRAL EXPY STE 110",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802718",
"telephone_number": "214-265-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFLICE",
"first_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.