Active NPI
Esther Micu Funtanilla, PT
- Physical Therapist
- Pendleton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6619
- Practice address
- 2801 St Anthony Way
Pendleton, OR 97801-3800 - Phone
- (541) 278-6610
- NPI assigned
- May 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6619 | OR | Primary |
Addresses
Primary practice location
2801 St Anthony Way
Pendleton, OR 97801-3800
Mailing address
1211 SW 21St St Apt 106
Pendleton, OR 97801-4478
Phone (541) 701-7661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Nat Washington Way
Columbia Basin Hospital
Ephrata, WA 98823-1997
Phone (509) 754-4631
3854 Village Seven Rd
Strive Physical Therapy V7
Colorado Springs, CO 80917-2801
Phone (719) 574-8761
512 N Young St
Suite C
Kennewick, WA 99336-7839
Phone (509) 736-2225
Hospital & facility affiliations
- Columbia Basin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6619 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Health & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Grant County Public Hospital District 3 | Current | Accepting new patients | |
| Colorado Health & Rehab LLC | Physical Therapist | Current | Accepting new patients |
Locations
5980 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 574-3111
3854 Village Seven Rd
#V7
Colorado Springs, CO 80917
Phone (719) 574-8761
3854 Village Seven Rd
Colorado Springs, CO 80917
Phone (719) 574-3111
200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336542125
-
- Emergency Medical Services (Emergency Medicine) Physician
- Ephrata, WA
- NPI 1134283930
-
- Physical Therapy Clinic/Center
- Kennewick, WA
- NPI 1881921054
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1912596941
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ephrata, WA
- NPI 1811979610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496016000000",
"number": "1053849596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 SW 21ST ST APT 106",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978014478",
"telephone_number": "541-701-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ST ANTHONY WAY",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013800",
"telephone_number": "541-278-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNTANILLA",
"first_name": "ESTHER",
"middle_name": "MICU",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-29",
"last_updated": "2017-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.