Kelly Lyn Funk, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC006923L Issued in PA

Practice address

2589 Mosside Blvd
Monroeville, PA 15146-3510

Phone

(412) 357-2030

NPI assigned

Aug 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Lyn McCarren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503792000000",
    "number": "1710404181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 CHAUCER DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156424604",
            "telephone_number": "724-863-2926",
            "fax_number": "724-863-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463510",
            "telephone_number": "412-357-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "KELLY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2017-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006923L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCCARREN",
            "middle_name": "LYN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Frances Fritzgerald, OTR/L
• Hal Frohlich
• Jessica Frye, OD
• Brian Robert Fuller, RPH
• Ashlyn Funk
• Kirstie Ellen Funyak, PA-C
• John Gabrick, PA-C
• Sydney E Gabriel, OTD
• Lisa Gahagen, PA-C
• Veronica Lynn Gaither, BSN RN CCRN

• Occupational Therapist in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2017; 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.