Organization Active NPI

Helena Wiston, LLC

Doing business as Function Time Therapy

  • Pediatric Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1164962528
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-6226 Issued in FL
Legal business name
HELENA WISTON, LLC
Doing business as
Function Time Therapy
Practice address
11671 Island Lakes LN
Boca Raton, FL 33498-6802
Phone
(561) 756-4254
NPI assigned
Mar 6, 2017
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Mrs. Helena Wiston
Title
Otr/L
Phone
(561) 756-4254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT-6226 FL Primary

Addresses

Primary practice location

11671 Island Lakes LN
Boca Raton, FL 33498-6802

Mailing address

11671 Island Lakes LN
Boca Raton, FL 33498-6802
Phone (561) 756-4254

Other identifiers 2

IdentifierTypeStateIssuer
883426100MedicaidFL
003729800MedicaidFL

Other names 1

  • Function Time Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1164962528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11671 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986802",
            "telephone_number": "561-756-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986802",
            "telephone_number": "561-756-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENA WISTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "WISTON",
        "authorized_official_first_name": "HELENA",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "561-756-4254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT-6226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883426100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003729800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Function Time Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.