Sensational Kids Gym
LBN: Functional Kids, Pllc
Sensational Kids Gym is an health care organization with primary practice located at 5625 S Southeastern Ave , Sioux Falls SD 57108-8600. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Functional Kids, Pllc can be contacted via phone (605) 759-8466, or through Fluth, Nicole via phone (605) 359-3827.
Contact Information
Primary practice address
5625 S Southeastern Ave
Sioux Falls SD 57108-8600
Phone: (605) 759-8466
Fax: (605) 231-4362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1881295590 |
|---|---|
| LBN Legal business name | Functional Kids, Pllc |
| DBA Doing business as | Sensational Kids Gym |
| Authorized official | Fluth, Nicole OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2020 |
| Last updated | Jan 3rd, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881295590 | NPPES |
| South Dakota | MEDICAID | 2022155 |
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