FUNCTIONAL KIDS CLINIC
NPI 1477640613
Clinic/Center - Rehabilitation in Maplewood, MN
About Functional Kids Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUNCTIONAL KIDS CLINIC (NPI 1477640613) is a healthcare organization registered as a rehabilitation in Maplewood, Minnesota and active in the NPI registry since October 2006. The organization lists Kristi Kay Worrell, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 12
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Functional Kids Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Functional Kids Clinic, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Functional Integrated Therapy, Ltd's NPI number?
The NPI number for Functional Integrated Therapy, Ltd is 1477640613. It was assigned to this organization in the NPPES registry on October 9, 2006. The provider is doing business as Functional Kids Clinic.
Where is Functional Integrated Therapy, Ltd located?
Functional Integrated Therapy, Ltd is located at 2495 Maplewood Drive Suite 313, Maplewood, MN 55109. The listed phone number is (651) 770-8884.
What is Functional Integrated Therapy, Ltd's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Functional Integrated Therapy, Ltd enrolled in Medicare?
Yes. Functional Integrated Therapy, Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Functional Integrated Therapy, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Functional Integrated Therapy, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Occupational Therapist in Private Practice (9), Qualified Speech Language Pathologist (9) and Physical Therapist in Private Practice (2). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Functional Integrated Therapy, Ltd was last updated on March 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Functional Kids Clinic · NPI 1477640613
Rehabilitation organization in Maplewood, Minnesota. Organization record, active in the CMS NPPES registry since October 9, 2006.
## Identity
- **NPI:** 1477640613 (Entity type: Organization)
- **Enumerated:** October 9, 2006
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Legal business name:** Functional Integrated Therapy, Ltd
- **Organization subpart:** No
- **Authorized official:** Kristi Worrell, OWNER/OPERATOR
## Practice location
- **Address:** 2495 MAPLEWOOD DRIVE, SUITE 313, Maplewood, MN 55109-1913
- **Phone:** (651) 770-8884 · **Fax:** (651) 770-8151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (9), Qualified Speech Language Pathologist (9), Physical Therapist in Private Practice (2); 16 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2009
- **Other identifiers:** Other 6401782 (MN); Medicare PIN 670000094; Other 181389 (MN); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1477640613) · Data from the CMS NPPES public registry.