Wonderfully Made Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

WONDERFULLY MADE PEDIATRIC THERAPY LLC

Practice address

528 Kelsey Ave Ste a
Muscle Shoals, AL 35661-1563

Phone

(256) 577-2682

Fax

(678) 806-4806

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Dena Johnston Graham, OTR/LNPI 1457003196

Title

Owner/Occupational Therapist

Phone

(256) 577-2682

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dena Johnston Graham, OTR/L

  • Occupational Therapist
  • Killen, AL
  • NPI 1457003196
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1033993472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 KELSEY AVE STE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611563",
            "telephone_number": "256-577-2682",
            "fax_number": "678-806-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 KELSEY AVE STE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611563",
            "telephone_number": "256-577-2682",
            "fax_number": "678-806-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "JOHNSTON",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "256-577-2682",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Willcutt, FNP
• Lance Allen Willis, RPT
• Lori Willis
• Women'S Health Options
• Womens Wellness Options, LLC
• Justin Woods, PHARMD
• Kelley Woods
• Wound Care Anywhere, LLC
• Wright Medical
• Andrea Yates, DO

• Pediatric Occupational Therapist in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.