Functional Pelvis Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

016848 Issued in NY

Legal business name

FUNCTIONAL PELVIS INC

Practice address

21 West St
7A
New York, NY 10006-2920

Phone

(917) 601-1299

NPI assigned

Sep 18, 2014

Last updated

Nov 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsey VestalNPI 1821333618

Title

Owner

Phone

(917) 601-1299

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsey Vestal, OTR/L

  • Occupational Therapist
  • New York, NY
  • NPI 1821333618
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1164824389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST ST",
            "address_2": "7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062920",
            "telephone_number": "917-601-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WEST ST",
            "address_2": "7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062920",
            "telephone_number": "917-601-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PELVIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "VESTAL",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-601-1299"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "016848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Life Achievement, Inc.
• Functional Life Achievement. Ink.
• Functional Life Achievements Inc
• Functional Manual Physical Therapy Services (Ipa Soho)
• Functional Nurse Practitioner in Family Health
• Harjienne Deive Fundal
• Fundamental Acupuncture PLLC
• Casey Norei Funderburk
• Christopher D. Funderburk, M.D., M.S.
• Jan Salvador Fune, MD

• Health Service Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.