Theresa Marie Funkhouser, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1279 Issued in AR

Practice address

7401 Marche Lateral Rd
North Little Rock, AR 72118-1693

Phone

(501) 851-2473

Fax

(501) 851-3862

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TMF Therapy, Inc.

  • Occupational Therapist
  • North Little Rock, AR
  • NPI 1609955616
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124117429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 MARCHE LATERAL RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181693",
            "telephone_number": "501-851-2473",
            "fax_number": "501-851-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 MARCHE LATERAL RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181693",
            "telephone_number": "501-851-2473",
            "fax_number": "501-851-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKHOUSER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "5X125",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cullen Dale Fuller, M.D.
• Glenda Fuller, LMT
• Jocelin Fuller
• Braxton Funk
• Parker Jay Funk, MD
• Erika Rene Funmaker, APRN
• G Friend DDS Ms & M Wilson DDS Ms PA
• Dessari L Gaines
• Gainful Pragmatic Solutions
• Galloway Therapy PLLC

• Occupational Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.