Active NPI
Garrett Wade Logan, CCC-SLP
- Speech-Language Pathologist
- Red Oak, TX
National Provider Identifier
1659114015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 122425
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Oak Isd | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Red Oak, TX
- NPI 1265236467
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.