Active NPI
Zachary Kelsey
- Occupational Therapist
- Manvel, TX
National Provider Identifier
1871948323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113720
- Practice address
- 31 Mira Loma Dr
Manvel, TX 77578-3347 - Phone
- (940) 206-9483
- NPI assigned
- May 3, 2016
- Sex
- Male
- 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 | 113720 | TX | Primary |
Addresses
Primary practice location
31 Mira Loma Dr
Manvel, TX 77578-3347
Mailing address
31 Mira Loma Dr
Manvel, TX 77578-3347
Phone (940) 206-9483
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 |
|---|---|---|---|
| 113720 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1871948323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MIRA LOMA DR",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783347",
"telephone_number": "940-206-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MIRA LOMA DR",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783347",
"telephone_number": "940-206-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSEY",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.