FUNCTIONAL PHYSICAL THERAPY, LLC


Address: 103 N Adams St Ste 1-2, Rockville, MD 20850-2256
Phone: 3016023117

FUNCTIONAL PHYSICAL THERAPY, LLC (NPI# 1730604745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730604745
Entity Type Organization
Organization Name FUNCTIONAL PHYSICAL THERAPY, LLC
Practice Address 103 N Adams St Ste 1-2
Rockville
MD 20850-2256
Mailing Address 7509 Old Chapel Dr
Bowie
MD 20715-6011
Practice Telephone 3016023117
Mailing Telephone 3016023117
Enumeration Date 2017-08-10
Last Update Date 2017-08-10
Authorized Official Name GABRIELA VAN SICKLE (OWNER/PHYSICAL THERAPIST)
Authorized Official Telephone 3016023117
Authorized Official Credential PT, DPT, CMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
26474 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649598491 Functional Physical Therapy, LLC Physical Therapist 1310 Island Green St, Champions Gate, FL 33896 2010-05-04

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Functional Physical Therapy, LLC, A Colorado Professional Company 5305 Spine Rd Ste F, Boulder, CO 80301

Office Location

Street Address 103 N ADAMS ST STE 1-2
City ROCKVILLE
State MD
Zip Code 20850-2256

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1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639595820 Patricia L Keegan Physical Therapist 2401 Research Blvd Ste 109, Rockville, MD 20850-3215 2014-03-12
1265899603 Leslie C Bergmann Physical Therapist 133 Rollins Ave, Unit 4a, Rockville, MD 20852-4040 2016-01-15
1922431873 Chelsie L Paynter Physical Therapist 15245 Shady Grove Rd, Suite C-100, North Lobby, Rockville, MD 20850-3222 2013-08-14
1982997946 Zachary Cohen Physical Therapist 4701 Randolph Rd, Suite 105, Rockville, MD 20852-2257 2011-05-24
1962658542 Osama El-tahtawi Physical Therapist 9715 Medical Center Dr, Suite 415, Rockville, MD 20850-3320 2008-08-14
1902060189 Francina Kudzayi Mambo Physical Therapist 9715 Medical Center Dr, Suite 415, Rockville, MD 20850-3320 2008-07-16
1619150026 Schrier Physical Therapy, Inc. Physical Therapist 4701 Randolph Rd, Suite 208, Rockville, MD 20852-2257 2007-12-07
1558489997 Jamey T Schrier Physical Therapist 4701 Randolph Rd, Suite #208, Rockville, MD 20852-2257 2007-03-26
1841317849 Eugene Victor Trembisky Physical Therapist 9850 Key West Ave, Suite 120, Rockville, MD 20850-3960 2007-03-23
1750406872 Issa Physical Therapy, Inc. Physical Therapist 6010 Executive Blvd, Suite 704, Rockville, MD 20852-3809 2007-03-20
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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