Functional Freedom LLC
NPI 1861989493ActiveOrganization· Occupational Therapist· Lancaster, PA
Occupational Therapist in Lancaster, Pennsylvania, registered in NPPES in April 2018. The authorized official on file is Kourtney Randsdorp, OTR/L, Occupational Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1861989493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2018 |
| Last updated in NPPES | Nov 21, 2023 |
| Certified by provider | Nov 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OC012565 | PA |
| Occupational Therapist | 225X00000X | OC013759 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (PA) |
|---|
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