NPIMap

Organization Active NPI

Function&Action Physical Therapy, Inc.

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1124098058
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FUNCTION&ACTION PHYSICAL THERAPY, INC.
Practice address
255 W Bullard Ave
Suite 114
Clovis, CA 93612-0861
Phone
(559) 299-0344
Fax
(559) 299-0391
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Eric S. HoshikoNPI 1548230485
Title
President
Phone
(559) 299-0344

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

255 W Bullard Ave
Suite 114
Clovis, CA 93612-0861

Mailing address

255 W Bullard Ave
Suite 114
Clovis, CA 93612-0861
Phone (559) 299-0344

Other identifiers 2

IdentifierTypeStateIssuer
610748800OtherCAOWCP GROUP ID NUMBER
ZZZ64289ZOtherCABLUE SHIELD GROUP ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130415000181 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365496783 Receives reassigned benefits from 4 practitioners
Practice locations: Clovis, CA

National Provider Directory

National Provider Directory

Locations

255 W Bullard Ave
Ste 114
Clovis, CA 93612
Phone (559) 299-0344

255 W Bullard Ave
Clovis, CA 93612
Phone (559) 297-1300

Practitioners & affiliated clinicians

Practitioners 9

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1124098058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE",
            "address_2": "SUITE 114",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-299-0344",
            "fax_number": "559-299-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE",
            "address_2": "SUITE 114",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-299-0344",
            "fax_number": "559-299-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION&ACTION PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "HOSHIKO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-299-0344"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP GROUP ID NUMBER",
            "identifier": "610748800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID #",
            "identifier": "ZZZ64289Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.