Functional Kids Therapy Center Llc - Medicare Mental Health Clinic in Springfield, MI

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Functional Kids Therapy Center Llc is a medicare enrolled mental health clinic (Occupational Therapist - Pediatrics) in Springfield, Michigan. The current practice location for Functional Kids Therapy Center Llc is 777 Goguac St W Ste B2, Springfield, Michigan. For appointments, you can reach them via phone at (269) 832-8224. The mailing address for Functional Kids Therapy Center Llc is 777 Goguac St W Ste B2, Springfield, Michigan and phone number is (269) 832-8224.

Functional Kids Therapy Center Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1578951380. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (269) 832-8224.

Contact Information

Functional Kids Therapy Center Llc
777 Goguac St W Ste B2
Springfield
MI 49015-2097
(269) 832-8224
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameFunctional Kids Therapy Center Llc
SpecialityOccupational Therapist
Location777 Goguac St W Ste B2, Springfield, Michigan
Authorized Official Name and PositionCortney A Carlisle (OCCUPATIONAL THERAPIST)
Authorized Official Contact2189299595
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Functional Kids Therapy Center Llc
777 Goguac St W Ste B2
Springfield
MI 49015-2097

Ph: (269) 832-8224		Functional Kids Therapy Center Llc
777 Goguac St W Ste B2
Springfield
MI 49015-2097

Ph: (269) 832-8224

NPI Details:

NPI Number1578951380
Provider Enumeration Date12/31/2014
Last Update Date09/02/2025
Certification Date09/02/2025

Medicare PECOS Information:

Medicare PECOS PAC ID6800116633
Medicare Enrollment IDO20150519002144

Medical Identifiers

Medical identifiers for Functional Kids Therapy Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578951380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
111N00000XChiropractor (* (Not Available))Secondary
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
225XP0200XOccupational Therapist - Pediatrics (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Functional Kids Therapy Center Llc acts as a billing entity for following providers:
Provider NameMaria M Dobbertien
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093103020
PECOS PAC ID: 0446575989
Enrollment ID: I20150204001946
Provider NameAlyssa C Rohr
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386285187
PECOS PAC ID: 7618395229
Enrollment ID: I20200915000229
Provider NameAmy M Steinman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669093795
PECOS PAC ID: 2961849153
Enrollment ID: I20240323000251
Provider NameKatherine Joyce Bergsma
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366220519
PECOS PAC ID: 4284075375
Enrollment ID: I20240507001927
Provider NameBailey Towns
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1154177145
PECOS PAC ID: 3375985039
Enrollment ID: I20240525000114
Provider NameRene M Cummings
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831479906
PECOS PAC ID: 3375085020
Enrollment ID: I20240610000695
Provider NameKimberly A Ortiz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841074754
PECOS PAC ID: 3173069473
Enrollment ID: I20240723002674
Provider NameCaroline M Muller
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306521216
PECOS PAC ID: 5991245011
Enrollment ID: I20240904001814
Provider NameMeagan I Stump
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1689402893
PECOS PAC ID: 0648711705
Enrollment ID: I20240917003460
Provider NameKelsey D Nichols
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003304601
PECOS PAC ID: 5799218988
Enrollment ID: I20241025003374

Reviews and Comments

Occupational Therapist in Springfield, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.