Functional Foundations LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FUNCTIONAL FOUNDATIONS LLC

Practice address

15996 Chamberlain Rd
Bowling Green, OH 43402-9583

Phone

(419) 367-0503

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Virginia S Jones, OTR/LNPI 1457203531

Title

Occupational Therapist

Phone

(419) 367-0503

Specialties & licenses 1

Addresses

Practitioners 1

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

• Virginia Sheryl Jones, OTR/L

  • Occupational Therapist
  • Toledo, OH
  • NPI 1457203531
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1750003935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15996 CHAMBERLAIN RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029583",
            "telephone_number": "419-367-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15996 CHAMBERLAIN RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029583",
            "telephone_number": "419-367-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FOUNDATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "419-367-0503",
        "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": []
}

• Chasady L Freeze, CNP
• Justin Friess
• Kaitlin Frisch
• Kelly Sue Fullenkamp, OTRL
• Tara Fuller
• Katie Funk
• Beth A Fyffe, M.ED.
• Jenna Gable, QMHS
• Megan Galambos
• Melinda Gallant

• Occupational Therapist in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.