Functional Therapy Center, Inc.
LBN: Functional Therapy Center, Inc.
Functional Therapy Center, Inc. is an health care organization with primary practice located at 499 Gloster Creek Vlg Suite I-3, Tupelo MS 38801-4600. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty.
Functional Therapy Center, Inc. can be contacted via phone (662) 844-4471, or through Carnathan, Nikolas Doyle via phone (662) 844-4471.
Contact Information
Primary practice address
499 Gloster Creek Vlg Suite I-3
Tupelo MS 38801-4600
Phone: (662) 844-4471
Fax: (662) 844-4472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1407847478 |
|---|---|
| LBN Legal business name | Functional Therapy Center, Inc. |
| DBA Doing business as | |
| Authorized official | Carnathan, Nikolas Doyle OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Aug 22nd, 2020 - about 6 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 | 1407847478 | NPPES |
| Mississippi | MEDICAID | 00304504 |
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