Core Functional Wellness Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CORE FUNCTIONAL WELLNESS INC.

Practice address

440 Glenmont Dr
Solana Beach, CA 92075-1311

Phone

(858) 231-2800

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

Carol Harmon, OTR/L

Title

Occupational Therapist

Phone

(858) 231-2800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1669957395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 GLENMONT DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751311",
            "telephone_number": "858-231-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 GLENMONT DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751311",
            "telephone_number": "858-231-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FUNCTIONAL WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "858-231-2800",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adyson Elizabeth Colburn, DPT
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• Anne Cona, A.S.W.
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• Connie Glenn, LMFT, Individual and Family Therapy, Inc.
• Claudia Beatriz Cortadi, DDS
• Ariel Alexander Cortes, M.D.
• Jacqueline Cowan, DPT
• Jennifer Crane, MSN
• Dane P Crockford, PSYD

• All providers in Solana Beach, CA
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.