NPIMap

Organization Active NPI

Function Junction Rehabilitation Center

  • Specialist
  • Crescent City, CA
National Provider Identifier
1306051891
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AA549790 Issued in CA
Legal business name
FUNCTION JUNCTION REHABILITATION CENTER
Doing business as
Function Junction Rehabilitation Center
Practice address
555 South Highway 101
B
Crescent City, CA 95531
Phone
(707) 465-4003
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Carol WestermanNPI 1740406834
Title
Otc
Phone
(707) 465-4003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AA549790 CA Primary

Addresses

Primary practice location

555 South Highway 101
B
Crescent City, CA 95531

Mailing address

555 South Highway 101
B
Crescent City, CA 95531
Phone (707) 465-4003

Other names 1

  • Function Junction Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1306051891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SOUTH HIGHWAY 101",
            "address_2": "B",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-465-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOUTH HIGHWAY 101",
            "address_2": "B",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-465-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION JUNCTION REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "WESTERMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OTC",
        "authorized_official_telephone_number": "707-465-4003"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "AA549790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Function Junction Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crescent City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.