Provider Demographics
NPI:1144975186
Name:ROOTED IN FUNCTION, LLC
Entity type:Organization
Organization Name:ROOTED IN FUNCTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONI
Authorized Official - Middle Name:C
Authorized Official - Last Name:WATLING
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, MOT, OTR/L
Authorized Official - Phone:763-607-2294
Mailing Address - Street 1:3104 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-3223
Mailing Address - Country:US
Mailing Address - Phone:763-607-2294
Mailing Address - Fax:
Practice Address - Street 1:3104 1ST AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-3223
Practice Address - Country:US
Practice Address - Phone:763-607-2294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental HealthGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty