Full Function Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FULL FUNCTION PHYSICAL THERAPY, LLC

Practice address

2250 Corporate Cir Ste 350
Henderson, NV 89074-7714

Phone

(702) 522-7858

Fax

(702) 522-7897

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Sandy Friday

Title

Credentialer

Phone

(702) 800-8988

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1043955099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SOARING SKY AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CORPORATE CIR STE 350",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747714",
            "telephone_number": "702-522-7858",
            "fax_number": "702-522-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL FUNCTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "FRIDAY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "702-800-8988"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juian-Juian L Fu, M.D. & PH.D.
• Angela Fuentes
• Mariah Fuentes
• Iliana Esther Fuentez Osuna
• Ivana P. Fukumoto, NP-C
• Imani S Fuller
• Kaylee Arline Fuller
• Peter Fuller, M.D.
• Staci Fuller
• Josephine Fulton

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.