NPIMap

Organization Active NPI

Functional Living

  • Occupational Therapist
  • Sandy Springs, GA
National Provider Identifier
1629511555
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006296 Issued in GA
Legal business name
FUNCTIONAL LIVING
Practice address
305 Dunwoody Chace
Sandy Springs, GA 30328-4587
Phone
(678) 773-9564
NPI assigned
Nov 26, 2016
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Stanton Swanson, MS, OTR/LNPI 1043732514
Title
Occupational Therapist
Phone
(678) 773-9564

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006296 GA Primary

Addresses

Primary practice location

305 Dunwoody Chace
Sandy Springs, GA 30328-4587

Mailing address

PO Box 6826
Minneapolis, MN 55406-0826
Phone (678) 773-9564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stanton@functionalliving.net

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1629511555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6826",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554060826",
            "telephone_number": "678-773-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 DUNWOODY CHACE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284587",
            "telephone_number": "678-773-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-26",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "678-773-9564",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stanton@functionalliving.net",
            "affiliation": "N",
            "address_1": "1441 W 35th St",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554083811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.