Functional Training and Rehab Physiotherapy P.C. Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC.

Practice address

40679 Big Bear Boulevard
#3885
Big Bear Lake, CA 92315

Phone

(949) 202-9099

NPI assigned

Aug 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathan McClusky, DPT

Title

Physical Therapist/Owner

Phone

(949) 202-9099

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1013699016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40679 BIG BEAR BOULEVARD",
            "address_2": "#3885",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40679 BIG BEAR BOULEVARD",
            "address_2": "#3885",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "949-202-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-30",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "949-202-9099",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Flores Rodriguez
• Deanna Marina Almaguer Flores
• Rebecca Flores
• Lori Foust
• Heather Lyn Fritzsche
• Fuquan Gao
• Angeleke Garcia
• Garfield Beach CVS LLC
• Harry David Goldwasser, MD
• Gabino A Gomez-Canul

• Rehabilitation Clinic/Center in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.