NPIMap

Organization Active NPI

Function First Therapy LLC

  • Occupational Therapist
  • Plymouth, ME
National Provider Identifier
1154094506
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FUNCTION FIRST THERAPY LLC
Doing business as
Function First Therapy LLC
Practice address
67 Mt View Dr
Plymouth, ME 04969-3235
Phone
(207) 416-2327
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Kellye Wentworth, MS. OTR/LNPI 1144530122
Title
Occupational Therapist/Owner
Phone
(207) 416-2327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

67 Mt View Dr
Plymouth, ME 04969-3235

Mailing address

67 Mt View Dr
Plymouth, ME 04969-3235
Phone (207) 416-2327

Other names 1

  • FUNCTION FIRST THERAPY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220510000858 ME Part B Supplier - Clinic/Group Practice 3779960927 Receives reassigned benefits from 3 practitioners
Practice locations: Pittsfield, ME

National Provider Directory

National Provider Directory

Locations

167 Sebasticook St
Pittsfield, ME 04967
Phone (207) 416-2327

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1154094506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MT VIEW DR",
            "city": "PLYMOUTH",
            "state": "ME",
            "postal_code": "049693235",
            "telephone_number": "207-416-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MT VIEW DR",
            "city": "PLYMOUTH",
            "state": "ME",
            "postal_code": "049693235",
            "telephone_number": "207-416-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION FIRST THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "WENTWORTH",
        "authorized_official_first_name": "KELLYE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "207-416-2327",
        "authorized_official_credential": "MS. OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FUNCTION FIRST THERAPY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.