Organization Active NPI

Core Functional Wellness Inc.

  • Occupational Therapist
  • Solana Beach, CA
National Provider Identifier
1669957395
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Carol Harmon, OTR/LNPI 1558729608
Title
Occupational Therapist
Phone
(858) 231-2800

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

440 Glenmont Dr
Solana Beach, CA 92075-1311

Mailing address

440 Glenmont Dr
Solana Beach, CA 92075-1311
Phone (858) 231-2800

National Provider Directory

National Provider Directory

Locations

543 Encinitas Blvd
Ste 114
Encinitas, CA 92024
Phone (425) 563-3099

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": "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": []
}

Other providers in Solana Beach, CA

Sources for this page

  • 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.