FUNCTIONAL FREEDOM LLC
NPI 1861989493
Occupational Therapist in Lancaster, PA

Active since April 19, 2018
105 HERITAGE RD., LANCASTER, PA 17602(717) 572-7966 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2023, Aug 8, 2018, Apr 19, 2018 (3 updates tracked since 2018).

About Functional Freedom Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL FREEDOM LLC (NPI 1861989493) is a healthcare organization registered as an occupational therapist in Lancaster, Pennsylvania and active in the NPI registry since April 2018. The organization maintains a secondary practice location in Lancaster and lists Kourtney Randsdorp, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1861989493
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameFUNCTIONAL FREEDOM LLC
Location Address105 HERITAGE RD.Lancaster, PA 17602
Mailing Address105 Heritage Rd.Lancaster, PA 17602 · (717) 572-7966
Organization SubpartNo
Authorized OfficialKourtney RandsdorpOccupational Therapist · (717) 572-7966
Enumeration DateApril 19, 2018
Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1861989493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses✔ Licensed in PA · OC012565✔ Licensed in PA · OC013759
Definition
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.
105 HERITAGE RD., Lancaster, PA 17602

Secondary Practice Location 1

Location 1703 Lampeter Rd Rm 5Lancaster, PA 17602-4013 · Phone (717) 663-8307 · Fax (717) 823-5200

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Freedom Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Functional Freedom LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Occupational Therapist in Private Practice7
Physical Therapist in Private Practice3
Qualified Speech Language Pathologist1

Clinicians, nearest first (11)

Occupational Therapist in Private Practice
NPI 1639822760
105 HERITAGE RD
Lancaster, PA 17602
(717) 663-8307
Same address
Occupational Therapist in Private Practice
NPI 1710221668
105 HERITAGE RD
Lancaster, PA 17602
(717) 572-7966
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1033530381
900 E KING ST
Lancaster, PA 17602
(717) 299-7850
✔ Accepts Medicare2.3 mi
Occupational Therapist in Private Practice
NPI 1063629004
900 WILLOW VALLEY LAKES DRIVE
Willow Street, PA 17584
(717) 464-6861
3.4 mi
Occupational Therapist in Private Practice
NPI 1083965677
900 WILLOW VALLEY LAKES DR
Willow Street, PA 17584
(717) 464-6861
3.4 mi
Physical Therapist in Private Practice
NPI 1194181271
170 N POINTE BLVD
Lancaster, PA 17601
(717) 299-4871
✔ Accepts Medicare4.3 mi
Physical Therapist in Private Practice
NPI 1366163859
1095 MILL MAR RD
Lancaster, PA 17601
(717) 575-9308
8.5 mi
Physical Therapist in Private Practice
NPI 1740454834
136 LAKE ST
Ephrata, PA 17522
(717) 738-7979
✔ Accepts Medicare11 mi
Occupational Therapist in Private Practice
NPI 1912489220
1021 SPRINGBOARD DR
Hershey, PA 17033
(717) 583-5102
30 mi
Occupational Therapist in Private Practice
NPI 1699043646
7 CARNEGIE PLZ
Cherry Hill, NJ 08003
(877) 407-3422
✔ Accepts Medicare69 mi
Occupational Therapist in Private Practice
NPI 1215971023
8254 ATLEE RD
Mechanicsville, VA 23116
(804) 342-4300
177 mi

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 Freedom LLC's NPI number?

The NPI number for Functional Freedom LLC is 1861989493. It was assigned to this organization in the NPPES registry on April 19, 2018.

Where is Functional Freedom LLC located?

Functional Freedom LLC is located at 105 Heritage Rd., Lancaster, PA 17602. The listed phone number is (717) 572-7966.

What is Functional Freedom LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Functional Freedom LLC enrolled in Medicare?

Yes. Functional Freedom LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Functional Freedom LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Functional Freedom LLC. 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 (7), Physical Therapist in Private Practice (3) and Qualified Speech Language Pathologist (1). Of these, 2 practice at this address and 7 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 Freedom LLC was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.