Functional Therapy LLC
Functional Therapy LLC is a healthcare organization registered as Occupational Therapist in Picayune, MS, holding Type 2 (organization) NPI 1417235490 since 2011. The authorized official on file is Stacey Vollenweider, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417235490 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Functional Therapy LLC |
| Practice address | 311 N MAIN ST, Picayune, MS, 39466 |
| Phone | 6017994065 |
| Fax | 6016204117 |
| Enumeration date | 2011-07-25 |
| Last updated in NPPES | 2014-12-31 |
Authorized official
| Name | Stacey Vollenweider |
|---|---|
| Title | Owner |
| Phone | 2282169996 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | Primary | OT1249 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01458505 | Medicaid | MS | — |
Copy-ready billing details
Provider: Functional Therapy LLC NPI: 1417235490 Taxonomy: 225X00000X (Occupational Therapist) Address: 311 N MAIN ST, Picayune, MS, 39466
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417245648 | Stacey Vollenweider | Individual | Occupational Therapist | Picayune, MS |
| 1710312442 | Sara Braddy | Individual | Occupational Therapist | Picayune, MS |
| 1659796860 | Fundamental Therapy LLC | Organization | Specialist | Picayune, MS |
| 1043769458 | Karly Slade | Individual | Occupational Therapy Assistant | Picayune, MS |
Verify this record
Cross-check NPI 1417235490 against the authoritative CMS record: view Functional Therapy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Functional Therapy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-12-31.