Functional Cognition Clinic, LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

FUNCTIONAL COGNITION CLINIC, LLC

Practice address

547 92ND Ave N
Saint Petersburg, FL 33702-3033

Phone

(678) 773-9564

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By 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

Stanton Swanson, OTDNPI 1043732514

Title

Owner

Phone

(678) 773-9564

Specialties & licenses 1

Addresses

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.

• Stanton Swanson, MS, OTR

  • Gerontology Occupational Therapist
  • Sandy Springs, GA
  • NPI 1043732514
  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1184466187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 92ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337023033",
            "telephone_number": "678-773-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 92ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337023033",
            "telephone_number": "678-773-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL COGNITION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-773-9564",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura G Fuentevilla, ARNP
• Full Circle MD
• Full Circle Medical, LLC
• Christie Jo Fuller, ARNP
• Joyce Julianne Fuller
• Daniel G Funsch Jr., M.D.
• Glenn S Fuoco, D.O.
• Michelle Pittman Fuoco, MA CCC-SLP
• Scott Furer, MD
• Megan Furman

• Rehabilitation Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.