NPIMap

Organization Active NPI

Functionize Health & Physical Therapy

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1134587074
Registry record updated Feb 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT006885 Issued in GA
Legal business name
FUNCTIONIZE HEALTH & PHYSICAL THERAPY
Practice address
1199 Saint Andrews Cir
Atlanta, GA 30338-3201
Phone
(678) 637-1497
Fax
(678) 587-5524
NPI assigned
Feb 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2016

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

Authorized official

Name
Lauren Sok, MPTNPI 1619038544
Title
Physical Therapist/Owner
Phone
(678) 637-1497

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 Therapy Clinic/Center 261QP2000X PT006885 GA Primary

Addresses

Primary practice location

1199 Saint Andrews Cir
Atlanta, GA 30338-3201

Mailing address

1199 Saint Andrews Cir
Atlanta, GA 30338-3201
Phone (678) 637-1497

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1134587074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 SAINT ANDREWS CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383201",
            "telephone_number": "678-637-1497",
            "fax_number": "678-587-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 SAINT ANDREWS CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383201",
            "telephone_number": "678-637-1497",
            "fax_number": "678-587-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONIZE HEALTH & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "SOK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "678-637-1497",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT006885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.