Active NPI
Abigail Christine Offill, SLP-CCC
- Speech-Language Pathologist
- Wylie, TX
National Provider Identifier
1124861091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 121116
- Practice address
- 709 Business Way Ste 120
Wylie, TX 75098-3961 - Phone
- (972) 559-4437
- Fax
- (214) 377-4244
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 121116 | TX | Primary |
Addresses
Primary practice location
709 Business Way Ste 120
Wylie, TX 75098-3961
Mailing address
PO Box 1001
Wylie, TX 75098-1001
Phone (972) 559-4437
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 |
|---|---|---|---|
| 121116 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dux2 LLC | Current | Accepting new patients | |
| The ABA Spot LLC | Past | Accepting new patients |
Locations
709 Business Way
Ste 120
Wylie, TX 75098
Phone (214) 483-3170
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.
-
- Multi-Specialty Clinic/Center
- Wylie, TX
- NPI 1629616974
-
- Behavior Analyst
- Wylie, TX
- NPI 1336070671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1124861091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1001",
"city": "WYLIE",
"state": "TX",
"postal_code": "750981001",
"telephone_number": "972-559-4437",
"fax_number": "214-377-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 BUSINESS WAY STE 120",
"city": "WYLIE",
"state": "TX",
"postal_code": "750983961",
"telephone_number": "972-559-4437",
"fax_number": "214-377-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFILL",
"first_name": "ABIGAIL",
"middle_name": "CHRISTINE",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "121116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.