Functional Therapy Center, Inc. in Tupelo - Occupational Therapist
Functional Therapy Center, Inc. - NPI 1407847478
Functional Therapy Center, Inc. is a Occupational Therapist in Tupelo, Mississippi. Functional Therapy Center, Inc. practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Functional Therapy Center, Inc. is 1407847478. The last update date is 2020-08-22.
Functional Therapy Center, Inc.'s current location address is 499 Gloster Creek Vlg, Tupelo, Mississippi. You can contact this provider via phone number 6628444471 and fax number 6628444472. The mailing address for Functional Therapy Center, Inc. is 499 Gloster Creek Vlg, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Functional Therapy Center, Inc. |
|---|---|
| Address | 499 Gloster Creek Vlg, Tupelo, Mississippi |
| Phone Number | 6628444471 |
| Fax Number | 6628444472 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Carnathan Doyle Nikolas |
| Credentials | OTR/L |
| Telephone Number | 6628444471 |
NPI Number Detail
| NPI Number | 1407847478 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 499 Gloster Creek Vlg |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388014600 |
| Phone Number | 6628444471 |
| Fax Number | 6628444472 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 304504 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Functional Therapy Center, Inc. by the Centers for Medicare & Medicaid Services?
The Functional Therapy Center, Inc. has been assigned the NPI (National Provider Identifier) 1407847478 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Functional Therapy Center, Inc. is located?
The Functional Therapy Center, Inc. is situated at the following address: 499 Gloster Creek Vlg, Tupelo, MS, 388014600.
What is Functional Therapy Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Functional Therapy Center, Inc. is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407847478 to Functional Therapy Center, Inc.?
The Functional Therapy Center, Inc. received its 1407847478 assignment from the Centers for Medicare & Medicaid Services on 2005-10-31.
When was the information regarding Functional Therapy Center, Inc. most recently updated?
The details pertaining to the Functional Therapy Center, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.