FUNCTIONAL RESTORATIONS LLC NPI 1316659626

NPI Information

  • NPI: 1316659626
  • Provider Name: FUNCTIONAL RESTORATIONS LLC
  • Classification: Anaplastologist - 229N00000X
  • Entity Type: Organization
  • Address: 1200 BROAD ST STE 108
    DURHAM, NC
    ZIP 27705
  • Phone: (919) 802-8020

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NPI Details

FUNCTIONAL RESTORATIONS LLC is an anaplastologist in Durham, NC. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). FUNCTIONAL RESTORATIONS LLC NPI is 1316659626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 BROAD ST STE 108
DURHAM, NC
ZIP 27705-573
Phone: (919) 802-8020

The provider's authorized official is Jennifer Robinson .
The authorized official title is Principle/manager and has the following contact phone number (919) 802-8020.

The enumeration date for this NPI number is 12/19/2022 and was last updated on 7/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224L00000XPedorthistNo
2229N00000XAnaplastologistYes
3332B00000XDurable Medical Equipment & Medical SuppliesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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