NPIMap

Individual provider Active NPI

Michele Defley, OTR, CHT

  • Hand Occupational Therapist
  • Benbrook, TX
National Provider Identifier
1679503882
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
106952 Issued in TX
Practice address
6080 Southwest Blvd
Benbrook, TX 76109-3912
Phone
(817) 731-9331
Fax
(817) 731-9882
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 106952 TX Primary

Addresses

Primary practice location

6080 Southwest Blvd
Benbrook, TX 76109-3912

Mailing address

6080 Southwest Blvd
Benbrook, TX 76109-3912
Phone (817) 731-9331

Other identifiers 4

IdentifierTypeStateIssuer
1256670001OtherTXCIGNA DME PROVIDER
752570786OtherTXFEIN
1021100149OtherTXHAND THERAPY CERTIFICATE
8T6760OtherBCBS TX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
106952TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper & Bush Physical Therapy LLC PastSince Mar 9, 1999 Accepting new patients
Ideal Physical Therapy of Texas LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1679503882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093912",
            "telephone_number": "817-731-9331",
            "fax_number": "817-731-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093912",
            "telephone_number": "817-731-9331",
            "fax_number": "817-731-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFLEY",
        "first_name": "MICHELE",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "106952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DME PROVIDER",
            "identifier": "1256670001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "752570786",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAND THERAPY CERTIFICATE",
            "identifier": "1021100149",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8T6760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.