Functional Friends Therapy Services LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

FUNCTIONAL FRIENDS THERAPY SERVICES LLC

Practice address

9095 Washington Church Rd
Miamisburg, OH 45342-4428

Phone

(937) 620-7012

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Brooke Malott, OTD, OTR/LNPI 1104516798

Title

Occupational Therapist/Owner

Phone

(937) 620-7012

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Brooke Malott, OTD

  • Occupational Therapist
  • Centerville, OH
  • NPI 1104516798
  NPD Authorized official

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1699645366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WELLINGTON WAY",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669307",
            "telephone_number": "937-620-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 WASHINGTON CHURCH RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424428",
            "telephone_number": "937-620-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FRIENDS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MALOTT",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "937-620-7012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Frack, RBT
• Linda R France, FPS
• Jennifer Anne Franks, LISW
• Kylea Frei, ED.D, BCBA, QMHS
• Frederick L Fritz, PMHNP
• Derrick Furtick
• Anjali Aniruddha Gadre, PT
• Elaine Knoll Gaglione, MD
• Irving Vicente Gallardo Ramirez, MD
• Shuang Gao, MD, MS, MS, MSN, RD

• Pediatric Occupational Therapist in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Pediatric Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.