FUNCTIONAL THERAPY (NPI# 1083759021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083759021 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL THERAPY |
| Practice Address |
6613 Brayton Dr Suite A Anchorage AK 99507-2127 |
| Mailing Address |
Po Box 113394 Anchorage AK 99511-3394 |
| Practice Telephone | 9073349002 |
| Practice Fax Number | 9073349320 |
| Mailing Telephone | 9073349002 |
| Mailing Fax Number | 9073349320 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERRY PASOL (OTR) |
| Authorized Official Telephone | 9073349002 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | OT32411 | 05 | |
| AK | PT2352 | 05 | |
| AK | OT1318 | 05 | |
| AK | OT45641 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FUNCTIONAL THERAPY SOLUTIONS LLC | 300 Godfrey Road, Fairfield, CT 06825 |
| New York State Corporations | FUNCTIONAL THERAPY, LLC | 4114 Overcup Oak Ln, Cary, North Carolina 27519 |
| Street Address |
6613 BRAYTON DR SUITE A |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801006994 | Michelle Gill | Physical Therapist | 6613 Brayton Dr, Suite A, Anchorage, AK 99507-2127 | 2007-05-23 |
| 1952439390 | Jessica Leigh Huey | Physical Therapist | 6613 Brayton Dr, Anchorage, AK 99507-2127 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184199754 | Thomas Anthony Robinson | Occupational Therapist | 9020 Shaun Landing Cir, Anchorage, AK 99502-5566 | 2018-10-09 |
| 1871964163 | Terri Alice Atwell | Occupational Therapist | 1517 Garden St, Anchorage, AK 99508-2940 | 2015-10-12 |
| 1942507017 | Pediatric Ot Services, LLC | Occupational Therapist | 1301 E Dowling Rd Ste 106, Anchorage, AK 99518-1428 | 2011-02-24 |
| 1386777852 | Katherine J. Updegraff | Occupational Therapist | 6711 Gloucester Pl, Anchorage, AK 99504-3343 | 2007-03-14 |
| 1841349768 | Dee Berline | Occupational Therapist | 1000 Fairwood Dr, Anchorage, AK 99518-2941 | 2007-01-09 |
| 1376605469 | Julie A Kelly | Occupational Therapist | 1803 Kepner Dr, Anchorage, AK 99504-3061 | 2006-12-14 |
| 1033296405 | Stacey Marie Lord | Occupational Therapist | 8200 Homer Dr Ste F, Anchorage, AK 99518-3330 | 2006-11-01 |
| 1649888520 | Kids First Pediatric Therapy | Occupational Therapist | 1130 W Dimond Blvd Ste B, Anchorage, AK 99515-1511 | 2020-07-16 |
| 1083248231 | Katelyn Grace Isom | Occupational Therapist | 4600 Business Park Blvd # D24, Anchorage, AK 99503-7142 | 2020-02-26 |
| 1376018473 | Samantha Jean Guenther | Occupational Therapist | 6311 Debarr Rd Ste J, Anchorage, AK 99504-1777 | 2018-10-04 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.