Active NPI
Lacy Dawn Funk, MOTR
- Occupational Therapist
- Allentown, PA
National Provider Identifier
1447552062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC011887
- Practice address
- 850 S 5TH St
Allentown, PA 18103-3308 - Phone
- (610) 776-3578
- NPI assigned
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC011887 | PA | Primary |
Addresses
Primary practice location
850 S 5TH St
Allentown, PA 18103-3308
Mailing address
850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC011887 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1447552062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033308",
"telephone_number": "610-776-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033308",
"telephone_number": "610-776-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "LACY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MOTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC011887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.