FUNCTIONAL FOUNDATIONS PEDIATRIC THERAPY PLLC (NPI# 1730727116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730727116 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL FOUNDATIONS PEDIATRIC THERAPY PLLC |
| Practice Address |
3575 Donald St Ste 260 Eugene OR 97405-4744 |
| Practice Telephone | 5412556400 |
| Mailing Telephone | 5412556400 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | SOPHIA PATEL (OWNER) |
| Authorized Official Telephone | 5412556400 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3575 DONALD ST STE 260 |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437378288 | Sophia Anwar Patel | Physical Therapist | 3575 Donald St Ste 260, Eugene, OR 97405-4744 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396943932 | Kathleen Marie Hogan | Physical Therapist | 132 Formac Ave, Eugene, OR 97404-2606 | 2007-07-05 |
| 1912068941 | Sandra Lee Saavedra | Physical Therapist | 1763 Moss St, Eugene, OR 97403-1946 | 2006-12-13 |
| 1396105235 | Tara Michelle Poole | Physical Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2016-03-04 |
| 1548645609 | Kayla Taylor | Physical Therapist | 11 E 27th Ave, Eugene, OR 97405-3613 | 2015-07-29 |
| 1548362049 | Nancy Elizabeth Cave | Physical Therapist | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156101 | Pace Pediatric Therapy, Inc. | Physical Therapist | 3701 Se Milwaukie Ave Ste G, Portland, OR 97202-3835 | 2020-05-27 |
| 1427691740 | First Steps Physical Therapy, LLC | Physical Therapist | 911 Main St Ste 100, Oregon City, OR 97045-1853 | 2019-10-18 |
| 1467804773 | Rebecca D. Sander | Physical Therapist | 17113 Sw Green Heron Dr, Sherwood, OR 97140-8972 | 2016-07-11 |
| 1841426434 | Rebecca Additon Veltri | Physical Therapist | 32513 Joseph Ln, Philomath, OR 97370-9130 | 2009-06-09 |
| 1306050646 | Pediatric Therapyworks | Physical Therapist | 30714 Se Dodge Park Blvd, Gresham, OR 97080-8961 | 2007-05-09 |
| 1790814200 | Susan Nicklin | Physical Therapist | 945 S Riverside Ave, Medford, OR 97501-7841 | 2007-03-02 |
| 1396898441 | Johanna Lydia Buck | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2007-01-20 |
| 1164598462 | Joy Danielle Shank | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2006-11-28 |
| 1861453979 | Therapy Solutions for Kids, LLC | Physical Therapist | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2006-03-29 |
| 1225649205 | Jaclyn Silver | Physical Therapist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FUNCTIONAL FOUNDATIONS PEDIATRIC THERAPY PLLC.
| 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.