Individual provider Active NPI

Garrett Wade Logan, CCC-SLP

  • Speech-Language Pathologist
  • Red Oak, TX
National Provider Identifier
1659114015
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
122425 Issued in TX
Practice address
109 W Red Oak Rd
Red Oak, TX 75154-6335
Phone
(972) 617-2941
NPI assigned
Jun 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 122425 TX Primary

Addresses

Primary practice location

109 W Red Oak Rd
Red Oak, TX 75154-6335

Mailing address

109 W Red Oak Rd
Red Oak, TX 75154-6335
Phone (972) 617-2941

Other practice location 1

220 South SH 342
Red Oak, TX 75154
Phone (972) 617-3535

Other practice location 2

340 Westmoreland Rd
Ovilla, TX 75154
Phone (972) 617-4690

Other practice location 3

154 Louise Ritter Blvd
Red Oak, TX 75154-6520
Phone (972) 617-0066

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

Practice roles

OrganizationSpecialtyStatusNew patients
Red Oak Isd Speech-Language Pathologist CurrentSince Aug 17, 2025 Accepting new patients

Locations

109 W Red Oak Rd
Red Oak, TX 75154
Phone (972) 617-2941

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1659114015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W RED OAK RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751546335",
            "telephone_number": "972-617-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W RED OAK RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751546335",
            "telephone_number": "972-617-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 South SH 342",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "75154",
            "country_code": "US",
            "telephone_number": "972-617-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Westmoreland Rd",
            "address_purpose": "LOCATION",
            "city": "Ovilla",
            "state": "TX",
            "postal_code": "75154",
            "country_code": "US",
            "telephone_number": "972-617-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 Louise Ritter Blvd",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751546520",
            "country_code": "US",
            "telephone_number": "972-617-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "GARRETT",
        "middle_name": "WADE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "122425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.