Wonderhill Farm

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WONDERHILL FARM

Practice address

2800 Caney Creek Rd
Chappell Hill, TX 77426-5284

Phone

(979) 830-0000

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Holly Carlile

Title

Executive Director

Phone

(979) 830-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1497445027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CANEY CREEK RD",
            "city": "CHAPPELL HILL",
            "state": "TX",
            "postal_code": "774265284",
            "telephone_number": "979-830-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CANEY CREEK RD",
            "city": "CHAPPELL HILL",
            "state": "TX",
            "postal_code": "774265284",
            "telephone_number": "979-830-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERHILL FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "CARLILE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-830-0000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lusk, M.D.
• Sandra R Musielewicz, LCSW
• Kimberly Novicke
• Victoria Pieper
• Bailey Sander

• Physical Therapy Clinic/Center in Chappell Hill, TX
• Providers in Chappell Hill, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.