Active NPI
David Funk, PT, DPT
- Physical Therapist
- Lake Havasu City, AZ
National Provider Identifier
1144776535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12450
- Practice address
- 2781 Osborn Dr
Lake Havasu City, AZ 86406-8629 - Phone
- (814) 758-8838
- NPI assigned
- Aug 26, 2016
- Sex
- Male
- 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 | 12450 | AZ | Primary |
Addresses
Primary practice location
2781 Osborn Dr
Lake Havasu City, AZ 86406-8629
Mailing address
2781 Osborn Dr
Lake Havasu City, AZ 86406-8629
Phone (814) 758-8838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12450 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Pointe Wellness and Recovery PLLC | Current | Accepting new patients |
Organizations & group practices 1
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 Therapy Clinic/Center
- Grosse Pointe Farms, MI
- NPI 1144048364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1144776535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2781 OSBORN DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864068629",
"telephone_number": "814-758-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 OSBORN DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864068629",
"telephone_number": "814-758-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.