Active NPI
Alan Funk
- Occupational Therapist
- Allentown, PA
National Provider Identifier
1215915541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC011865
- Practice address
- 805 S 5TH St
Allentown, PA 18103-3307 - Phone
- (610) 776-3100
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1075481 | TX | |
| Occupational Therapist | 225X00000X | 113643 | TX | |
| Occupational Therapist | 225X00000X | OC011865 | PA | Primary |
Addresses
Primary practice location
805 S 5TH St
Allentown, PA 18103-3307
Mailing address
304 Maple CT
Alburtis, PA 18011-9594
Phone (512) 922-5373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075481 | TX | MD | Occupational Therapy Assistant |
| OC011865 | PA | MD | Occupational Therapist |
| 113643 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1215915541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MAPLE CT",
"city": "ALBURTIS",
"state": "PA",
"postal_code": "180119594",
"telephone_number": "512-922-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033307",
"telephone_number": "610-776-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "1075481",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113643",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC011865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.