Functional Home OT LLC

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

Legal business name

FUNCTIONAL HOME OT LLC

Practice address

255 Five Rd
Carmel, ME 04419-3203

Phone

(207) 548-5913

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Anne Lopez, OTR/L

Title

Owner

Phone

(207) 548-5913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1043837503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FIVE RD",
            "city": "CARMEL",
            "state": "ME",
            "postal_code": "044193203",
            "telephone_number": "207-745-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FIVE RD",
            "city": "CARMEL",
            "state": "ME",
            "postal_code": "044193203",
            "telephone_number": "207-548-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HOME OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-548-5913",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Marie Cormier, OTRL
• Michelle Curtis, RN
• Families Choice Home Health Care
• Rebecca Greenleaf
• Jacobs Ladder Occupational Therapy
• Cheryl Anne La Grange, D.C
• Aimee Lanpher
• Melissa Anne Lopez, OTR/L

• All providers in Carmel, ME
• Gerontology Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.