Organization Active NPI

Junction of Function Inc

  • Pediatric Occupational Therapist
  • Plano, TX
National Provider Identifier
1013171768
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7324 Issued in FL
Legal business name
JUNCTION OF FUNCTION INC
Practice address
2102 Promontory PT
Plano, TX 75075-3547
Phone
(239) 777-4009
Fax
(972) 612-6804
NPI assigned
Jul 11, 2008
Organization subpart
Yes
Parent organization
JUNCTION OF FUNCTION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kelly Ann Wilk, OTR L
Title
Occupational Therapist
Phone
(239) 777-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 7324 FL Primary

Addresses

Primary practice location

2102 Promontory PT
Plano, TX 75075-3547

Mailing address

2102 Promontory PT
Plano, TX 75075-3547
Phone (239) 777-4009

Other identifiers 2

IdentifierTypeStateIssuer
886525600MedicaidFL
2823296MedicaidTX

National Provider Directory

National Provider Directory
Part of
Junction of Function Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1013171768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 PROMONTORY PT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753547",
            "telephone_number": "239-777-4009",
            "fax_number": "972-612-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 PROMONTORY PT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753547",
            "telephone_number": "239-777-4009",
            "fax_number": "972-612-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION OF FUNCTION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUNCTION OF FUNCTION INC",
        "enumeration_date": "2008-07-11",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "WILK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "239-777-4009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "7324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886525600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2823296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.