Active NPI
Therafun LLC
- Occupational Therapist
- Nixa, MO
National Provider Identifier
1518585231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- THERAFUN LLC
- Practice address
- 435 N Gregg Rd
Nixa, MO 65714-9037 - Phone
- (417) 459-6441
- NPI assigned
- Jul 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Brewer
- Title
- Owner Otr/L
- Phone
- (417) 459-6441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
435 N Gregg Rd
Nixa, MO 65714-9037
Mailing address
435 N Gregg Rd
Nixa, MO 65714-9037
Phone (417) 459-6441
National Provider Directory
National Provider DirectoryLocations
3734 South Ave
Ste E
Springfield, MO 65807
Phone (417) 848-8889
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Nixa, MO
- NPI 1497254866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1518585231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N GREGG RD",
"city": "NIXA",
"state": "MO",
"postal_code": "657149037",
"telephone_number": "417-459-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N GREGG RD",
"city": "NIXA",
"state": "MO",
"postal_code": "657149037",
"telephone_number": "417-459-6441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAFUN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-09",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER OTR/L",
"authorized_official_telephone_number": "417-459-6441"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.