FUNCTIONAL FREEDOM LLC (NPI# 1861989493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861989493 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL FREEDOM LLC |
| Practice Address |
105 Heritage Rd. Lancaster PA 17602 |
| Practice Telephone | 7175727966 |
| Mailing Telephone | 7175727966 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | MRS. KOURTNEY RANDSDORP (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 7175727966 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OC013759 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OC012565 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 HERITAGE RD. |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| 1134479744 | Kindred Health Care | Skilled Nursing Facility | 900 East King St, Lancaster, PA 17602 | 2012-09-12 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811854 | Yen Wen Pan | Occupational Therapist | 43051 15th St W, Lancaster, CA 93534-6906 | 2020-11-06 |
| 1275142911 | Samantha Kay Korczykowski | Occupational Therapist | 40 Knollwood Dr, Lancaster, PA 17601-5658 | 2020-07-29 |
| 1811522436 | Hannah Beissel | Occupational Therapist | 319 Kilgannon Ln, Lancaster, PA 17603-9070 | 2020-03-04 |
| 1306316898 | David Cacanindin | Occupational Therapist | 4124 Royale Cir, Lancaster, CA 93536-2420 | 2018-11-28 |
| 1194222778 | Jocelyn Marie Eisele | Occupational Therapist | 18 Signal Dr, Lancaster, NY 14086-9559 | 2018-04-10 |
| 1528563970 | Pinnacle Home Therapy, LLC | Occupational Therapist | 452 Greenhedge Dr, Lancaster, PA 17603-7906 | 2018-03-28 |
| 1891297545 | Dawn Morrill | Occupational Therapist | 1201 N Dallas Ave, Lancaster, TX 75146-1621 | 2018-03-08 |
| 1528505468 | Clarice Licon | Occupational Therapist | 3174 Thornapple Dr, Lancaster, PA 17601-6906 | 2017-01-30 |
| 1730621640 | Thaovari Thi Ly | Occupational Therapist | 43416 16th St W, Unit #26, Lancaster, CA 93534-5949 | 2016-11-08 |
| 1174994933 | Jillian Kish | Occupational Therapist | 12 Veterans Dr, Lancaster, NY 14086-1708 | 2015-10-19 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.