Functional Therapy
LBN: Functional Therapy
Functional Therapy is an health care organization with primary practice located at 6613 Brayton Dr Suite A, Anchorage AK 99507-2127. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty.
Functional Therapy can be contacted via phone (907) 334-9002, or through Pasol, Jerry via phone (907) 334-9002.
Contact Information
Primary practice address
6613 Brayton Dr Suite A
Anchorage AK 99507-2127
Phone: (907) 334-9002
Fax: (907) 334-9320
Website:
Authorized official contact:
Name: Pasol, Jerry Registered Occupational Therapist (OTR)
Phone: (907) 334-9002
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | Alaska | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | Alaska |
Profile Details
| NPI number | 1083759021 |
|---|---|
| LBN Legal business name | Functional Therapy |
| DBA Doing business as | |
| Authorized official | Pasol, Jerry Registered Occupational Therapist (OTR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
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 | 1083759021 | NPPES |
| Alaska | MEDICAID | OT32411 | |
| Alaska | MEDICAID | OT45641 | |
| Alaska | MEDICAID | OT1318 | |
| Alaska | MEDICAID | PT2352 |
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