Active NPI
Ladarryl Whaley
- Massage Therapist
- Garland, TX
National Provider Identifier
1093644635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT125336
- Practice address
- 4280 Lavon Dr # 280
Garland, TX 75040-2902 - Phone
- (817) 751-2738
- NPI assigned
- May 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT125336 | TX | Primary |
Addresses
Primary practice location
4280 Lavon Dr # 280
Garland, TX 75040-2902
Mailing address
1306 Red River Dr
Wylie, TX 75098-6113
Phone (214) 713-9601
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 |
|---|---|---|---|
| MT125336 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1093644635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 RED RIVER DR",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986113",
"telephone_number": "214-713-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 LAVON DR # 280",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402902",
"telephone_number": "817-751-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "LADARRYL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT125336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.