Active NPI
Wonderfully Made Therapies, PLLC.
- Speech-Language Pathologist
- Ennis, TX
National Provider Identifier
1851162176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darla Diane Gardner, SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Ennis, TX
- NPI 1598247611
-
- Speech-Language Pathologist
- Red Oak, TX
- NPI 1548043987
-
- Speech-Language Pathologist
- Ennis, TX
- NPI 1548903149
-
- Speech-Language Pathologist
- Red Oak, TX
- NPI 1396071320
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.