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

Functional Therapy LLC

Organization Occupational Therapist · NPI 1417235490

Functional Therapy LLC is an Occupational Therapist in Picayune, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

311 N Main St
Picayune, MS 39466-3313
Phone: (601) 799-4065
Fax: (601) 620-4117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1249 (MS)

Record details

NPI number1417235490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Vollenweider — Owner · (228) 216-9996
NPI enumeratedJuly 25, 2011
Last updated in NPPESDecember 31, 2014
Mailing address7533 Crooked Stick Dr, Diamondhead, MS 39525-3895

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