FUNCTIONAL PERFORMANCE THERAPY, INC. (NPI# 1811141914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811141914 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL PERFORMANCE THERAPY, INC. |
| Practice Address |
5563 Old Hiway 93 Florence MT 59833-0171 |
| Mailing Address |
Po Box 171 Florence MT 59833-0171 |
| Practice Telephone | 4065316658 |
| Practice Fax Number | 4062739038 |
| Mailing Telephone | 4065316658 |
| Mailing Fax Number | 4062739038 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | EDWARD A BONIECKI (OT/OWNER) |
| Authorized Official Telephone | 4065316658 |
| Authorized Official Credential | OT/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 803 | MT | Agencies |
| Street Address |
5563 OLD HIWAY 93 |
| City | FLORENCE |
| State | MT |
| Zip Code | 59833-0171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245604057 | Frederick Carl Guenzler | Massage Therapist | 201 Luby Lane, Florence, MT 59833 | 2015-11-17 |
| 1669894119 | Rachel J Evens | Nurse Practitioner | 1803 Eastside Hwy, Stevensville, MT 59833 | 2014-01-16 |
| 1851739551 | Lee Richard Hayne | Specialist | 660 Sweeney Cr. Lp., Florence, MT 59833 | 2013-06-05 |
| 1811221179 | Simone Alicia Larson | Massage Therapist | 5537 Old Us 93, Suite A, Florence, MT 59833 | 2009-09-18 |
| 1114062809 | Robert S Hart | Family Medicine | 5549 Old Highway 93, Florence, MT 59833 | 2007-02-20 |
| 1639221559 | Edward Andrew Boniecki | Occupational Therapist | 5633 Highway 93, Florence, MT 59833 | 2007-01-18 |
| 1891807046 | Carl Richard Shepp | Dentist | 5460 Hwy 93, Florence, MT 59833 | 2006-08-31 |
| 1265825434 | Terrence Austin | Physician Assistant | 5549 Us Highway 93 N, Florence, MT 59833 | 2015-03-12 |
| 1679087357 | Heather Marie Lodwig | Counselor | 20075 Old Us Highway 93, Florence, MT 59833-6000 | 2017-11-17 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| Find all providers in zip 59833 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049587 | Nieman Home Care LLC | Home Health | 73 Cavalier Blvd Ste 127, Florence, KY 41042-5180 | 2020-10-01 |
| 1477176873 | Serenity Homecare Agency LLC | Home Health | 812 S Cashua Dr, St E, Florence, SC 29501-6370 | 2020-05-20 |
| 1801422605 | Paradise Health Care Services, LLC | Home Health | 2246 Bellaire Dr, Florence, SC 29505-6304 | 2020-03-12 |
| 1427693027 | Litas Helping Hands LLC | Home Health | 7430 Us 42 Ste 208, Florence, KY 41042-1992 | 2019-11-07 |
| 1003459637 | Jerome Antonio Robinson Jr. | Home Health | 2212 Blass Dr, Florence, SC 29505-6479 | 2019-10-27 |
| 1518508050 | Coastal Health, LLC | Home Health | 2420 Hoffmeyer Rd Unit C, Florence, SC 29501-7426 | 2019-10-07 |
| 1487295978 | Caring Hearts Home Care LLC | Home Health | 623 S Seminary St, Florence, AL 35630-5618 | 2019-10-05 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1154845816 | Alexis Carter | Home Health | 3543 W Hampton Pointe Dr, Florence, SC 29501-8616 | 2017-08-03 |
| 1285175257 | Larhonda Moses | Home Health | 1800 2nd Loop Rd Ste 9, Florence, SC 29501-6180 | 2017-03-10 |
| Find all providers in FLORENCE | ||||
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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.