Functional Physical Therapy, LLC, a Colorado Professional Company

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6843 Issued in CO

Legal business name

FUNCTIONAL PHYSICAL THERAPY, LLC, A COLORADO PROFESSIONAL COMPANY

Practice address

1412 W 38TH Ave
Denver, CO 80211-2617

Phone

(970) 846-3300

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Gale Hackett Harrison, MSPT, CFMT, FMTF

Title

Physical Therapist

Phone

(970) 846-3300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Bothwell Kenyon, OTR CHT

  • Occupational Therapist
  • Denver, CO
  • NPI 1134474455
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1184878308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KALMIA AVE APT C318",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011590",
            "telephone_number": "970-846-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112617",
            "telephone_number": "970-846-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PHYSICAL THERAPY, LLC, A COLORADO PROFESSIONAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "GALE HACKETT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-846-3300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT, CFMT, FMTF"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "6843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Fullmer, RN, BSN
• Allison Fulton, APN-NP, PMHNP-BC
• Sadie Fulton
• Functional Performance PT Center
• Functional Performance PT Center
• Sara Funderburg
• Millie Riss Funderburk, PSYD, LPC
• Aziza Fundi
• Philip H Fung, MD
• Victoria Funk-Diaz, LPTA, RN

• Physical Therapy Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.