Active NPI
Functional Health Incorporated
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1023899002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- FUNCTIONAL HEALTH INCORPORATED
- Practice address
- 3130 Grand Concourse Ste 1E
Bronx, NY 10458-1263 - Phone
- (212) 203-3201
- Fax
- (718) 338-2695
- NPI assigned
- Oct 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Kahrl I Bigornia, OT
- Title
- Owner-Occupational Therapist
- Phone
- (646) 236-6898
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
3130 Grand Concourse Ste 1E
Bronx, NY 10458-1263
Mailing address
8015 231St St
Queens Village, NY 11427-2107
Phone (646) 236-6898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06841845 | Medicaid | NY | |
| 1083083539 | Other | NY | IND NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Bronx, NY
- NPI 1083083539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1023899002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 231ST ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114272107",
"telephone_number": "646-236-6898",
"fax_number": "718-338-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 GRAND CONCOURSE STE 1E",
"city": "BRONX",
"state": "NY",
"postal_code": "104581263",
"telephone_number": "212-203-3201",
"fax_number": "718-338-2695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL HEALTH INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-06",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "BIGORNIA",
"authorized_official_first_name": "ANTHONY KAHRL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER-OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "646-236-6898",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06841845",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND NPI",
"identifier": "1083083539",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Laura Karina Fumero Maduro, MD
- Fun With Speech Therapy
- Function in Motion Physical Therapy PC
- Function Wheels LLC
- Functional and Integrative Medical Health Care P.C.
- Functional Motion Physical Therapy PC
- Functional Therapeutic Services Inc.
- Fund for the City of New York
- Carol Eunice Funes
- Krissia Stefani Funes, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.