Functional Restorations LLC

Primary specialty

AnaplastologistTaxonomy code 229N00000X

Legal business name

FUNCTIONAL RESTORATIONS LLC

Practice address

1200 Broad St Ste 108
Durham, NC 27705-3573

Phone

(919) 802-8020

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer RobinsonNPI 1790548246

Title

Principle/Manager

Phone

(919) 802-8020

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Jennifer Latham Robinson, CFM

  • Mastectomy Fitter
  • Durham, NC
  • NPI 1790548246
  NPD Authorized official
• David Owen Robinson, CCA, CPED

  • Anaplastologist
  • Durham, NC
  • NPI 1083326383

  Pedorthist

  NPD

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1316659626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053573",
            "telephone_number": "919-802-8020",
            "fax_number": "919-251-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053573",
            "telephone_number": "919-802-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL RESTORATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRINCIPLE/MANAGER",
        "authorized_official_telephone_number": "919-802-8020"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "229N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penelope Noell Fuller, COTA
• Tierra Fuller
• Jessica Fulton, PH.D.
• Jason Funaro, PHARMD
• Functional Restoration Chiropractic PLLC
• Kiondra Funderburk
• Ryan Funderburk, DC
• Emily M Funk, CRNA
• Jared Fur
• Maison Daniel Furley, MD

• Anaplastologist in Durham, NC
• Providers in Durham, NC by specialty
• Anaplastologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.