Functional Kids, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FUNCTIONAL KIDS, PLLC

Doing business as

Functional Kids Pediatric Therapy

Practice address

3000 E Jackson St
Sioux Falls, SD 57108

Phone

(605) 759-8466

Fax

(605) 231-4362

NPI assigned

Nov 9, 2020

Last updated

Apr 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Fluth, OTR/LNPI 1225515927

Title

Occupational Therapist

Phone

(605) 359-3827

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Functional Kids Pediatric Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Fluth, OTD

  • Occupational Therapist
  • Sioux Falls, SD
  • NPI 1225515927

  Single Specialty

  NPD Authorized official
• Carolyn Ann Blatchford, OTD

  • Occupational Therapist
  • Sioux Falls, SD
  • NPI 1477447191
  NPD
• Hannah Berens

  • Speech-Language Pathologist
  • Sioux Falls, SD
  • NPI 1245145879
  NPD (past)
• Amanda Hagen

  • Speech-Language Pathologist
  • Sioux Falls, SD
  • NPI 1922925056
  NPD (past)
• Hallie Jerome, OTD

  • Occupational Therapist
  • Sioux Falls, SD
  • NPI 1154163202
  NPD (past)
• Lydia Pearl Lerma, OTD, OTR/L

  • Occupational Therapist
  • Sioux Falls, SD
  • NPI 1881526069
  NPD (past)
• Laura L Wong, OTR/L

  • Occupational Therapist
  • Sioux Falls, SD
  • NPI 1922206960
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1881295590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E JACKSON ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-759-8466",
            "fax_number": "605-231-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E JACKSON ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-759-8466",
            "fax_number": "605-231-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL KIDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "FLUTH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "605-359-3827",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022155",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Kids Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Functional Kids Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Fuglseth, SLP
• Audrey Jean Fuks, PMHNP
• Melanie Fuller
• William C Fuller, M.D.
• Thomas Fullerton, M.D.
• Allen E Funk, M.D.
• James Robert Furry IV, PA-C
• Heidi Marie Furth, CNP
• Jenny Leigh Furth, FNP-C
• Fusion Psychiatry & Wellness

• Occupational Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Occupational Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.