Functional Therapy in Anchorage - Pediatrics
Functional Therapy - NPI 1083759021
Functional Therapy is a Pediatrics in Anchorage, Alaska. Functional Therapy practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Functional Therapy is 1083759021. The last update date is 2020-08-22.
Functional Therapy's current location address is Po Box 113394, Anchorage, Alaska. You can contact this provider via phone number 9073349002 and fax number 9073349320. The mailing address for Functional Therapy is Po Box 113394, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Functional Therapy |
|---|---|
| Address | Po Box 113394, Anchorage, Alaska |
| Phone Number | 9073349002 |
| Fax Number | 9073349320 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OTR |
|---|---|
| Authorized Official Name | Pasol Jerry |
| Credentials | OTR |
| Telephone Number | 9073349002 |
NPI Number Detail
| NPI Number | 1083759021 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 113394 |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995113394 |
| Phone Number | 9073349002 |
| Fax Number | 9073349320 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OT32411 | AK | -- | |
| OT45641 | AK | -- | |
| OT1318 | AK | -- | |
| PT2352 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Functional Therapy by the Centers for Medicare & Medicaid Services?
The Functional Therapy has been assigned the NPI (National Provider Identifier) 1083759021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Functional Therapy is located?
The Functional Therapy is situated at the following address: Po Box 113394, Anchorage, AK, 995113394.
What is Functional Therapy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Functional Therapy's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251P0200X.
When did Functional Therapy receive its 1083759021 assignment?
The Functional Therapy was assigned its 1083759021 on 2007-02-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Functional Therapy's details last updated?
The information pertaining to the Functional Therapy, including its address, specialty, and other details, was most recently updated on 2020-08-22.