Fun 2 Be Me Developmental Therapy LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT.002088 Issued in OH

Legal business name

FUN 2 BE ME DEVELOPMENTAL THERAPY LLC

Practice address

3355 Medina Rd
Medina, OH 44256-9631

Phone

(440) 567-5220

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela L Blake, OTRLNPI 1457058760

Title

Owner

Phone

(440) 567-5220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Pamela L Blake, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Medina, OH
  • NPI 1457058760
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619002227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569631",
            "telephone_number": "440-567-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569631",
            "telephone_number": "440-567-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN 2 BE ME DEVELOPMENTAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-567-5220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "OT.002088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karisa Fretwell-Pyo, LSW
• Frederick Alfred Fri Jr., DDS
• Colleen Fritz
• Barbara Frye, LPC
• David S Fuller, DDS MS
• Herman Lee Richard Funk III, DNP, APRN, CNP
• Jonathan Roy Funk, MD
• Gabriella Catherine Furfari, MPAS, PA-C
• Lindsey Fusillo, LPCC
• Rachel Gabel

• Specialist in Medina, OH
• Providers in Medina, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.