Individual provider Active NPI

Keely Theriot

  • Speech-Language Pathologist
  • Nederland, TX
National Provider Identifier
1619425360
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110135 Issued in TX
Practice address
220 N 17TH St
Nederland, TX 77627-5029
Phone
(409) 724-2391
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 110135 TX Primary

Addresses

Primary practice location

220 N 17TH St
Nederland, TX 77627-5029

Mailing address

841 Oak BND
Port Neches, TX 77651-3736
Phone (409) 724-2391

Other practice location 1

870 Center St
Bridge City, TX 77611-2527
Phone (409) 988-3429

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

LicenseStateTypeSpecialty
110135TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
O'Neal Specialty Therapies and Rehabilitation Services, PLLC Past Accepting new patients
Nederland Isd PastSince Nov 21, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1619425360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 OAK BND",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776513736",
            "telephone_number": "409-724-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N 17TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275029",
            "telephone_number": "409-724-2391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Center St",
            "address_purpose": "LOCATION",
            "city": "Bridge City",
            "state": "TX",
            "postal_code": "776112527",
            "country_code": "US",
            "telephone_number": "409-988-3429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "KEELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.