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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649598491 | Functional Physical Therapy, LLC | Physical Therapist | 1310 Island Green St, Champions Gate, FL 33896 | 2010-05-04 |
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 |
Street Address |
103 N ADAMS ST STE 1-2 |
City | ROCKVILLE |
State | MD |
Zip Code | 20850-2256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
Find all providers in zip 20850 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
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 |
Find all providers in ROCKVILLE |
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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.