Organization Active NPI

Functional Physical Therapy, Inc.

Doing business as Functional Physical Therapy and Fitness

  • Physical Therapy Clinic/Center
  • Arcadia, CA
National Provider Identifier
1073666327
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FUNCTIONAL PHYSICAL THERAPY, INC.
Doing business as
Functional Physical Therapy and Fitness
Practice address
150 N Santa Anita Ave Ste 210
Arcadia, CA 91006-3181
Phone
(626) 446-3862
Fax
(626) 446-3860
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Frank Chow, D.P.T.NPI 1124171228
Title
Physical Therapist/Owner
Phone
(626) 446-3862

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X CA

Addresses

Primary practice location

150 N Santa Anita Ave Ste 210
Arcadia, CA 91006-3181

Mailing address

150 N Santa Anita Ave Ste 210
Arcadia, CA 91006-3181
Phone (626) 446-3862

Other names 1

  • Functional Physical Therapy and Fitness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620000517 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810931987 Receives reassigned benefits from 3 practitioners
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

150 N Santa Anita Ave
Ste 210
Arcadia, CA 91006
Phone (626) 446-3862

2245 E Colorado Blvd
Ste 202
Pasadena, CA 91107
Phone (626) 449-9910

Practitioners & affiliated clinicians

Practitioners 4

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1073666327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 210",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063181",
            "telephone_number": "626-446-3862",
            "fax_number": "626-446-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 210",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063181",
            "telephone_number": "626-446-3862",
            "fax_number": "626-446-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "626-446-3862",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Physical Therapy and Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.