Functional Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

FUNCTIONAL THERAPY

Practice address

159 Granby Cir
Beaver, WV 25813-9233

Phone

(304) 787-6348

NPI assigned

Oct 29, 2021

Last updated

Oct 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Bailey

Title

Speech Language Pathologist

Phone

(304) 787-6348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tiffany E Gentry-Bailey, SLP

  • Speech-Language Pathologist
  • Beckley, WV
  • NPI 1366288904
  NPD

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1184388654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 GRANBY CIR",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 GRANBY CIR",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139233",
            "telephone_number": "304-787-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "304-787-6348"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fci Beckley
• Fci Beckley
• John Patrick Fernald, MD
• Lauren Folsom
• Mary Fox, PTA
• Aisha Zakia Geraughty
• Ronald W Green Jr., PA
• Towanna Meiling Gwynn-Johnson
• Rebecca Loise Halvorson
• Taylor Kay Hamm

• Hearing and Speech Clinic/Center in Beaver, WV
• Providers in Beaver, WV by specialty
• Hearing and Speech Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.