Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Body Occupational Therapy PC

Organization Early Intervention Provider Agency · NPI 1417587510

Functional Body Occupational Therapy PC is an Early Intervention Provider Agency in Rosedale, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24024 Memphis Ave
Rosedale, NY 11422-2017
Phone: (917) 340-1645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1417587510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farah Quettant-Vergin — Occupational Therapist · (917) 340-1645
NPI enumeratedJanuary 17, 2020
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address24024 Memphis Ave, Rosedale, NY 11422-2017

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