Organization Active NPI

Wonderfully Made Therapies, PLLC.

  • Speech-Language Pathologist
  • Ennis, TX
National Provider Identifier
1851162176
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
WONDERFULLY MADE THERAPIES, PLLC.
Practice address
107 S Gaines St Ste 104
Ennis, TX 75119-4612
Phone
(214) 949-5559
NPI assigned
Jan 15, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Darla Diane Gardner, SLPNPI 1598247611
Title
Speech-Language Pathologist/Owner
Phone
(214) 949-5559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

107 S Gaines St Ste 104
Ennis, TX 75119-4612

Mailing address

605 Williamsburg Dr
Ennis, TX 75119-8219
Phone (214) 949-5559

National Provider Directory

National Provider Directory

Locations

107 S Gaines St
Ennis, TX 75119
Phone (469) 689-6383

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1851162176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WILLIAMSBURG DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198219",
            "telephone_number": "214-949-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S GAINES ST STE 104",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194612",
            "telephone_number": "214-949-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE THERAPIES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "214-949-5559",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.