Organization Active NPI

Functional Health Incorporated

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1023899002
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Anthony Kahrl I Bigornia, OTNPI 1083083539
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
06841845MedicaidNY
1083083539OtherNYIND NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202002943 NY Part B Supplier - Clinic/Group Practice 4486097789 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.