# FUNCTION FIRST THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790568921
- **Authorized official:** ASHLEY NICOLE INGRAM OTR/L, OTD (OWNER AND CEO)
- **Authorized official phone:** (434) 334-4236

## Contact information

- **Practice address:** 180 PARKSIDE LN, ROCKY MOUNT, VA 24151-2747
- **Practice address phone:** (434) 334-4236
- **Mailing address:** 180 PARKSIDE LN, ROCKY MOUNT, VA 24151-2747
- **Mailing address phone:** (434) 334-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XE0001X | Environmental Modification Occupational Therapist | — | NULL | — |
| 225XE0001X | Environmental Modification Occupational Therapist | — | — | — |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | Yes |
| 225XM0800X | Mental Health Occupational Therapist | — | — | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | — |
| 225XR0403X | Driving and Community Mobility Occupational Therapist | — | NULL | — |
| 225XR0403X | Driving and Community Mobility Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 08/14/2023
- **Last updated:** 04/05/2024