Organization Active NPI

Functional Investments, PLLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1033511100
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P-1870208-5 Issued in AZ
Legal business name
FUNCTIONAL INVESTMENTS, PLLC
Practice address
4303 W Van Buren St
Ste 4
Phoenix, AZ 85043-3928
Phone
(602) 995-0400
Fax
(602) 995-0500
NPI assigned
Sep 20, 2014
Last updated
Sep 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Dr. Patrick O'Brien, PT, DPT
Title
Managing Member
Phone
(602) 995-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P-1870208-5 AZ Primary

Addresses

Primary practice location

4303 W Van Buren St
Ste 4
Phoenix, AZ 85043-3928

Mailing address

4303 W Van Buren St
Ste 4
Phoenix, AZ 85043-3928
Phone (602) 995-0400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1033511100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 W VAN BUREN ST",
            "address_2": "STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433928",
            "telephone_number": "602-995-0400",
            "fax_number": "602-995-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 W VAN BUREN ST",
            "address_2": "STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433928",
            "telephone_number": "602-995-0400",
            "fax_number": "602-995-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL INVESTMENTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-995-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "P-1870208-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.