Functional Kids Therapy Center LLC
NPI 1578951380 · Pediatric Occupational Therapist · Springfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Functional Kids Therapy Center LLC is a Pediatric Occupational Therapist organization in Springfield, MI (NPI 1578951380).
Provider details
- NPI number
- 1578951380
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Cortney Carlisle, Occupational Therapist(218) 929-9595
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Functional Kids
Additional practice locations (2)
- 9809 Cherry Valley Ave Se Ste DCaledonia, MI 49316-9592Phone: (616) 536-2211
- 403 N Grand St Ste aSchoolcraft, MI 49087-8466Phone: (269) 679-7372Fax: (269) 225-0105
Registry dates
- Enumerated
- 2014-12-31
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Frequently asked questions
- What is Functional Kids Therapy Center LLC's NPI number?
- Functional Kids Therapy Center LLC's National Provider Identifier (NPI) is 1578951380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Functional Kids Therapy Center LLC?
- Functional Kids Therapy Center LLC is classified in the NPPES registry as Pediatric Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Functional Kids Therapy Center LLC located?
- Functional Kids Therapy Center LLC's practice location on file with NPPES is 777 Goguac St W Ste B2, Springfield, MI 49015-2097.
- What is Functional Kids Therapy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Functional Kids Therapy Center LLC is (269) 832-8224.
- Does Functional Kids Therapy Center LLC accept Medicare?
- Functional Kids Therapy Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Functional Kids Therapy Center LLC?
- The authorized official listed on Functional Kids Therapy Center LLC's NPPES record is Cortney Carlisle, Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Functional Kids Therapy Center LLC's NPI active?
- Yes — Functional Kids Therapy Center LLC's NPI (1578951380) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.