| Functional Freedom Llc | |
|
105 Heritage Rd., Lancaster, PA 17602 | |
| (717) 572-7966 | |
| Not Available |
| Full Name | Functional Freedom Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 105 Heritage Rd., Lancaster, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861989493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OC012565 (Pennsylvania) | Primary |
| 225X00000X | Occupational Therapist | OC013759 (Pennsylvania) | Secondary |
| Provider Name | Kourtney Randsdorp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710221668 PECOS PAC ID: 0941558266 Enrollment ID: I20180814001333 |
| Provider Name | Justin Jan Randsdorp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699043646 PECOS PAC ID: 8820264013 Enrollment ID: I20180905000626 |
| Provider Name | Victoria Graham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033530381 PECOS PAC ID: 0143630764 Enrollment ID: I20201110000136 |
| Provider Name | Amy G Pelotte |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639822760 PECOS PAC ID: 3971996984 Enrollment ID: I20220215000105 |
| Provider Name | Anthony L Alicea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740454834 PECOS PAC ID: 3072907765 Enrollment ID: I20220223000055 |
| Provider Name | Justin Meyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265768808 PECOS PAC ID: 9335522119 Enrollment ID: I20220810003953 |
| Provider Name | Stefanie R Flynn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063629004 PECOS PAC ID: 0244606879 Enrollment ID: I20221021001429 |
| Provider Name | Leah M Day |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073221321 PECOS PAC ID: 5799158242 Enrollment ID: I20230302002020 |
| Provider Name | Katie R Herr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912489220 PECOS PAC ID: 0648645358 Enrollment ID: I20230412000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Freedom Llc 105 Heritage Rd., Lancaster, PA 17602 Ph: (717) 572-7966 | Functional Freedom Llc 105 Heritage Rd., Lancaster, PA 17602 Ph: (717) 572-7966 |
Daniel Michael Brown, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 170 N Pointe Blvd, Lancaster, PA 17601 Phone: 717-299-4871 Fax: 717-517-5173 | |
Ms. Donna Walton-gibbs, OTR L CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Eden Road, Building I, Lancaster, PA 17601 Phone: 717-299-4829 Fax: 717-295-3453 | |
Mrs. Deborah Ann Jandzio, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Greenhedge Dr, Lancaster, PA 17603 Phone: 717-201-1413 | |
Mrs. Helana M Goldstein, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Community Way, Lancaster, PA 17603 Phone: 717-393-0425 Fax: 717-392-7107 | |
Miranda F Harlan, OT CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 N Pointe Blvd, Orthopedic Associates Of Lancaster Ltd, Lancaster, PA 17601 Phone: 717-299-4871 Fax: 717-391-2494 | |
Rachael Denise Appelbaum, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Village Cir, Lancaster, PA 17603 Phone: 717-399-7032 | |
Rachel Cecile Hamid, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E King St, Lancaster, PA 17602 Phone: 717-392-7279 |