Individual provider Active NPI

Esther Micu Funtanilla, PT

  • Physical Therapist
  • Pendleton, OR
National Provider Identifier
1053849596
Registry record updated May 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6619 Issued in OR
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

Updated by the provider on May 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250701000520 CO Practitioner - Physical Therapist in Private Practice 9234642471 Reassigns benefits to 1 organization
I20251202000883 WA Practitioner - Physical Therapist in Private Practice 9234642471 Reassigns benefits to 2 organizations

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
Grant County Public Hospital District No. 3Group PAC ID 6709775166, 68 clinicians
Colorado Health and Rehab LLCGroup PAC ID 4688999055, 21 clinicians
Anderson Physical Therapy LLCGroup PAC ID 4981747219, 6 clinicians

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 Hospital, Ephrata, WA, CCN 501317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6619ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Health & Rehab LLC Physical Therapist Current Accepting new patients
Grant County Public Hospital District 3 CurrentSince Nov 5, 2025 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist CurrentSince May 6, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.