Funworks Pediatric Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

003960 Issued in KY

Legal business name

FUNWORKS PEDIATRIC THERAPY

Practice address

408 Washington St
South Point, OH 45680-9660

Phone

(910) 689-5071

Fax

(888) 398-8146

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Shawna Lea McCormick, PT

Title

Owner/ Physical Therapist

Phone

(910) 689-5071

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.

• Shawna Lea Shockey, M.P.T.

  • Physical Therapist
  • Wilmington, NC
  • NPI 1619095346
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1275984114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "MINFORD",
            "state": "OH",
            "postal_code": "456530022",
            "telephone_number": "910-689-5071",
            "fax_number": "888-398-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WASHINGTON ST",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809660",
            "telephone_number": "910-689-5071",
            "fax_number": "888-398-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNWORKS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "910-689-5071",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Dwayne Fraley
• Elizabeth Dawn Frame, LGSW
• Dee Ann Freeman, APRN
• Jill Lynn Freeman
• Darian H French
• Kimbala Dawn Gabbard
• Teena Marie Gannon
• Joey Neal Garcia
• Joseph Gillenwater, LDO
• Marcellus J Gilreath, M.D.

• Early Intervention Provider Agency in South Point, OH
• Providers in South Point, OH by specialty
• Early Intervention Provider Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.