Function Flip, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

FUNCTION FLIP, LLC

Practice address

197 Ashland Ave # 1
Bloomfield, NJ 07003-2418

Phone

(973) 415-9405

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ellen James, EDD, OTR/LNPI 1659676476

Title

Ceo, Occupational Therapist

Phone

(973) 415-9405

Specialties & licenses 1

Addresses

Other names 2

• Function Flip, LLC Former legal business name
• Theraplay LLC Former legal business name

Electronic endpoints 1

Practitioners 1

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

• Ellen James, EDD, OTR/L

  • Occupational Therapist
  • Bloomfield, NJ
  • NPI 1659676476

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1356193577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 ASHLAND AVE # 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032418",
            "telephone_number": "973-415-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 ASHLAND AVE # 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032418",
            "telephone_number": "973-415-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION FLIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CEO, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "973-415-9405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellen@functionflip.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "197 Ashland Ave # 1",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070032418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Function Flip, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Theraplay LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Meredith Elise Freeman-Wu, LCSW
• Ace Frianeza
• Libna Fuentes
• Jerry Lee Fuller Jr., LCSW
• Michelle Lynn Fumosa, LCADC, ICADC, CCS
• Jonathan Timothy Fung, DPM
• Denise Fures, OD
• Mari Galicia, R.P.T.
• Tanvi Garala
• Virleny A Garcia, PHARMD

• Pediatric Occupational Therapist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.