NPIMap

Organization Active NPI

Functional Therapy, PLLC

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1336550136
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FUNCTIONAL THERAPY, PLLC
Practice address
1901 Commonwealth CT Ste B
Louisville, KY 40299-2355
Phone
(502) 608-7122
NPI assigned
May 14, 2014
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Mrs. Anna M. Coble, MS, OTR/LNPI 1699024737
Title
Owner
Phone
(502) 608-7122

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1901 Commonwealth CT Ste B
Louisville, KY 40299-2355

Mailing address

1901 Commonwealth CT Ste B
Louisville, KY 40299-2355
Phone (502) 458-9978

Other names 1

  • Anna Coble, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1901 Commonwealth Ct
#B
Louisville, KY 40299
Phone (502) 458-9978

415 Benjamin Ln
Ste 101
Louisville, KY 40222

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1336550136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 COMMONWEALTH CT STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992355",
            "telephone_number": "502-458-9978",
            "fax_number": "502-631-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 COMMONWEALTH CT STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992355",
            "telephone_number": "502-608-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-608-7122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna Coble, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Anna Coble, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.