MEDICARE: FOCUS ON FUNCTION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	376602	OK
2	235Z00000X	Speech-Language Pathologist	376602	OK
3	225100000X	Physical Therapist	376602	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7693	OTHER	OK	HOME CARE LICENSE

General Provider Information

NPI Number	:	1700950367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS ON FUNCTION, INC.

Provider Business Mailing Address
First Line	:	6400 N SANTA FE AVE STE B
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9126
Country	:	US
Telephone Number	:	405-840-2903
Fax Number	:	405-840-3256

Provider Business Practice Location Address
First Line	:	6400 N SANTA FE AVE STE B
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9126
Country	:	US
Telephone Number	:	405-840-2903
Fax Number	:	405-840-3256

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KIMBERLY DAWN CRYER
Credential	:	M.S.P.T.
Telephone Number	:	405-840-2903

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	10/28/2011

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Directions to “FOCUS ON FUNCTION, INC. ” Practice Location

Language	Start Address	Practice Location

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