Active NPI
Functional Milestones LLC
- Pediatric Occupational Therapist
- Wayland, MA
National Provider Identifier
1801678974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- FUNCTIONAL MILESTONES LLC
- Practice address
- 70 Boston Post Rd
Wayland, MA 01778-2422 - Phone
- (617) 564-1397
- NPI assigned
- Oct 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachael Hippolyte
- Title
- Otr/L
- Phone
- (617) 564-1397
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
70 Boston Post Rd
Wayland, MA 01778-2422
Mailing address
70 Boston Post Rd
Wayland, MA 01778-2422
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1801678974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BOSTON POST RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017782422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BOSTON POST RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017782422",
"telephone_number": "617-564-1397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL MILESTONES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-08-24",
"status": "A",
"authorized_official_last_name": "HIPPOLYTE",
"authorized_official_first_name": "RACHAEL",
"authorized_official_title_or_position": "OTR/L",
"authorized_official_telephone_number": "617-564-1397"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.