Active NPI
Seleste Selena Bustos, OTR, OTD
- Occupational Therapist
- Pasadena, TX
National Provider Identifier
1508565748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 123411
- Practice address
- 4500 E Sam Houston Pkwy S Ste 215
Pasadena, TX 77505-3957 - Phone
- (281) 978-1296
- NPI assigned
- Feb 27, 2023
- 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 | 123411 | TX | Primary |
Addresses
Primary practice location
4500 E Sam Houston Pkwy S Ste 215
Pasadena, TX 77505-3957
Mailing address
12515 Boreas Dr
Houston, TX 77039-4820
Phone (281) 978-1296
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 |
|---|---|---|---|
| 123411 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1508565748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12515 BOREAS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770394820",
"telephone_number": "281-978-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E SAM HOUSTON PKWY S STE 215",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053957",
"telephone_number": "281-978-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTOS",
"first_name": "SELESTE",
"middle_name": "SELENA",
"credential": "OTR, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "123411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.