Functional Wellness & Yoga

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FUNCTIONAL WELLNESS & YOGA

Practice address

376 Boylston St Ste 301
Boston, MA 02116-3827

Phone

(857) 529-7089

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Dana Lisa Solomon, OTR/LNPI 1003291022

Title

Occupational Therapist

Phone

(857) 529-7089

Specialties & licenses 1

Addresses

Other names 1

• Functional Wellness Doing business as

Locations

Practitioners 1

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

• Dana Solomon, OTR

  • Early Intervention Provider Agency
  • Lynn, MA
  • NPI 1003291022
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1851964779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MORTON AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556408",
            "telephone_number": "857-529-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 BOYLSTON ST STE 301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163827",
            "telephone_number": "857-529-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL WELLNESS & YOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "857-529-7089",
        "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": [
        {
            "organization_name": "Functional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne B Fulton, MD
• David Fulton, MD
• Linnea Elisabeth Fulton, PA-C
• Tiffany C Fulton, MD
• Eliot Fumante
• Chin Ho Fung, M.D.
• Ellen Fung, FNP-C
• Karen L Fung, LICSW
• Tak-Man Kimberly Fung, OD
• Teresa Fung

• Occupational Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.