Healthcare Provider Details

I. General information

NPI: 1952234031
Provider Name (Legal Business Name): FUNCTION FIRST THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17204 HARDWOOD PL
EDMOND OK
73012-8993
US

IV. Provider business mailing address

17204 HARDWOOD PL
EDMOND OK
73012-8993
US

V. Phone/Fax

Practice location:
  • Phone: 405-635-4427
  • Fax:
Mailing address:
  • Phone: 405-635-4427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ABBY DANIELLE TIPPECONNIC
Title or Position: OWNER - OCCUPATIONAL THERAPIST
Credential: MOT, OTR/L
Phone: 405-635-4427