Wonderfully Made Pediatrics

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

2003006580 Issued in MO

Legal business name

WONDERFULLY MADE PEDIATRICS

Practice address

1215 Dornewood PL
Ballwin, MO 63021-6879

Phone

(314) 440-6240

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Bensinger

Title

Owner/Physical Therapist

Phone

(314) 440-6240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1356758494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DORNEWOOD PL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216879",
            "telephone_number": "314-440-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DORNEWOOD PL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216879",
            "telephone_number": "314-440-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "BENSINGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "314-440-6240"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MO",
            "license": "2003006580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Willmann, PLPC
• Brandi Nicole Wilson, PLPC
• Kyle Winters
• Leah Winzen, R.D.
• Kelby Lynn Withrow, PA-C
• Shawn Kurt Woodard, D.C.
• Deanna Wright-Coffman, LCSW
• Melissa Wright, PLPC
• Carol A. Yeager, M.A.
• Johnathan Philip Yockey, PHARM. D

• Early Intervention Provider Agency in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Early Intervention Provider Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.