Functional Kids Therapy Center Llc - Medicare Occupational Therapist in Springfield, MI

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Functional Kids Therapy Center Llc is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Springfield, Michigan. Their current practice location is 777 Goguac St W Ste B2, Springfield, Michigan. You can reach out to their office (for appointments etc.) via phone at (269) 832-8224.

Functional Kids Therapy Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Functional Kids Therapy Center Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1578951380.

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




Healthcare Provider's Profile

Full NameFunctional Kids Therapy Center Llc
TypeFacility
SpecialityOccupational Therapist - Pediatrics
Location777 Goguac St W Ste B2, Springfield, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578951380
  • Provider Enumeration Date: 12/31/2014
  • Last Update Date: 03/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6800116633
  • Enrollment ID: O20150519002144

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
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
101Y00000XCounselor (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
111N00000XChiropractor (* (Not Available))Secondary
2251P0200XPhysical Therapist - Pediatrics (* (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 NameJennifer L Roelof
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053835124
PECOS PAC ID: 6800168691
Enrollment ID: I20170814001451
Provider NameGail A Conlan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083978704
PECOS PAC ID: 8527334366
Enrollment ID: I20171024001140
Provider NameEllen R Rosevear
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649772229
PECOS PAC ID: 8628322658
Enrollment ID: I20181110000363
Provider NameLori M Davis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497993133
PECOS PAC ID: 5890036156
Enrollment ID: I20190415001134
Provider NameDanielle M Hackert
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730745753
PECOS PAC ID: 1254664584
Enrollment ID: I20190531000772
Provider NameEmme Duranczyk
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053865543
PECOS PAC ID: 5294167763
Enrollment ID: I20191121002000
Provider NameAlyssa C Rohr
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386285187
PECOS PAC ID: 7618395229
Enrollment ID: I20200915000229
Provider NameKiley S Eversole
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265960090
PECOS PAC ID: 9436577046
Enrollment ID: I20200915000232
Provider NameLeah C. Krosschell
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669047403
PECOS PAC ID: 6406234251
Enrollment ID: I20220607000916
Provider NameSheryl Dudley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427703990
PECOS PAC ID: 4082096557
Enrollment ID: I20220729002365
Provider NameSophie Grelson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1841945300
PECOS PAC ID: 4385026822
Enrollment ID: I20220801001672
Provider NameKelly Gottschall
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003465071
PECOS PAC ID: 3072996446
Enrollment ID: I20220817002431
Provider NameAnna T Leibovich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114302478
PECOS PAC ID: 2163808411
Enrollment ID: I20221010003266
Provider NameTaylor L Olko
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1013622364
PECOS PAC ID: 1557726429
Enrollment ID: I20230427001879
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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Functional Kids Therapy Center Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

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

Reviews and Comments


Occupational Therapist in Springfield, MI

Kimberly Ann Sevastopoulos,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Evergreen Rd, Springfield, MI 49037
Phone: 269-969-6110    Fax: 269-969-6120
Rebecca N King, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Evergreen Rd, Springfield, MI 49037
Phone: 269-969-6110    Fax: 269-969-6120

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.