Tyrell Funkhouser, MS, OTR/L, CHT, MBA

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

056006741 Issued in IL

Practice address

737 N Michigan Ave
700
Chicago, IL 60611-2615

Phone

(312) 337-6960

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Master of Science

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1811251671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112615",
            "telephone_number": "312-337-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKHOUSER",
        "first_name": "TYRELL",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L, CHT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IL",
            "license": "056006741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Funk, MS, CGC
• Katrina Ann Funk, MAAT, LPC
• Megan Funk, LPC
• Stevie Nicole Funk, PA-C
• Annie Funke, LCSW
• Anna Funsten
• Abbey Fuqua
• Gordon Andrew Fuqua, M.D.
• Paula B Fuqua, M.D.
• Elizabeth Furbish, LCPC

• Hand Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Hand Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.