FUNCTIONAL KIDS CLINIC
NPI 1477640613
Clinic/Center - Rehabilitation in Maplewood, MN

Active since October 09, 2006
2495 MAPLEWOOD DRIVE, SUITE 313, MAPLEWOOD, MN 55109(651) 770-8884(651) 770-8151 Get Directions Write a Review

NPPES record last updated: March 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1477640613
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameFUNCTIONAL INTEGRATED THERAPY, LTD
Location Address2495 MAPLEWOOD DRIVE, SUITE 313Maplewood, MN 55109-1913
Mailing Address2495 Maplewood Drive, Suite 313Maplewood, MN 55109-1913 · (651) 770-8884 · Fax (651) 770-8151
Fax(651) 770-8151
Organization SubpartNo
Authorized OfficialKristi Kay WorrellOwner/operator · (651) 770-8884
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 31, 2009
NPI 1477640613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License Licensed in MN · 100591
2495 MAPLEWOOD DRIVE, Maplewood, MN 55109

Other Names 1

Doing Business AsFunctional Kids Clinic

Other Identifiers 12

Other6401782MN · Medica
Medicare PIN670000094
Other181389MN · Ucare Individual
Medicaid670043800MN
Medicare PINC03802
Other0007336046MN · Aetna
OtherJ053MN · Ucare Group
Other36655MN · St Paul Electrical Worker
Other18905MN · Preferred One
Other28D39FUMN · Blue Cross Blue Shield
Other133343MN · Choice Plus/patient Choic
Other75732MN · Health Partners

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DRIVE, SUITE 313
MAPLEWOOD, MN 55109
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DRIVE, SUITE 313
MAPLEWOOD, MN 55109
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DRIVE, SUITE 313
MAPLEWOOD, MN 55109
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DRIVE, SUITE 313
MAPLEWOOD, MN 55109
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DRIVE, SUITE 313
MAPLEWOOD, MN 55109
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DRIVE, SUITE 313
MAPLEWOOD, MN 55109

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.

What insurance does Functional Integrated Therapy, Ltd accept?

Health plans from Medica list Functional Integrated Therapy, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.