Functional Physical Therapy, Inc in Bloomingdale - Physical Therapist
Functional Physical Therapy, Inc - NPI 1790738409
Functional Physical Therapy, Inc is a Physical Therapist in Bloomingdale, Illinois. Functional Physical Therapy, Inc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Functional Physical Therapy, Inc is 1790738409. The last update date is 2011-07-13.
Functional Physical Therapy, Inc's current location address is 152 S Bloomingdale Rd, Bloomingdale, Illinois. You can contact this provider via phone number 6308935534 and fax number 6308935527. The mailing address for Functional Physical Therapy, Inc is 152 S Bloomingdale Rd, Bloomingdale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Functional Physical Therapy, Inc |
|---|---|
| Address | 152 S Bloomingdale Rd, Bloomingdale, Illinois |
| Phone Number | 6308935534 |
| Fax Number | 6308935527 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Fedorski Francis Tim |
| Credentials | PT, ATC |
| Telephone Number | 6308935534 |
NPI Number Detail
| NPI Number | 1790738409 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2011-07-13 |
Provider Mailing Address Detail
| Address | 152 S Bloomingdale Rd |
|---|---|
| City | Bloomingdale |
| State | Illinois (IL) |
| Post Code | 601081481 |
| Phone Number | 6308935534 |
| Fax Number | 6308935527 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 070-011136 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2232938 | IL | BLUE CROSS BLUE SHIELD | |
| DH0131 | IL | RAILROAD MEDICARE | |
| P00478856 | IL | RAILROAD MEDICARE | |
| 352586282001 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Functional Physical Therapy, Inc?
The Functional Physical Therapy, Inc has been issued the NPI (National Provider Identifier) 1790738409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Functional Physical Therapy, Inc?
The Functional Physical Therapy, Inc is situated at 152 S Bloomingdale Rd, in the city of Bloomingdale, state of IL, with the zip code 601081481.
What is Functional Physical Therapy, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Functional Physical Therapy, Inc is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790738409 to Functional Physical Therapy, Inc?
The Centers for Medicare & Medicaid Services assigned the 1790738409 to Functional Physical Therapy, Inc on 2006-05-17.
When was the information related to Functional Physical Therapy, Inc most recently updated or refreshed?
The details pertaining to the Functional Physical Therapy, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-13.
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