Organization Active NPI

Funxional Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Metairie, LA
National Provider Identifier
1215600838
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
FUNXIONAL PHYSICAL THERAPY LLC
Practice address
3000 Kingman St Ste 210
Metairie, LA 70006-6633
Phone
(985) 438-7318
NPI assigned
Jul 29, 2021
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Dr. Michelle Gaubert, DPTNPI 1205328200
Title
Owner
Phone
(985) 438-7318

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
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

3000 Kingman St Ste 210
Metairie, LA 70006-6633

Mailing address

1821 Burdette St
New Orleans, LA 70118-4106
Phone (985) 438-7318

Other identifiers 1

IdentifierTypeStateIssuer
1205328200OtherLANPI NUMBER

National Provider Directory

National Provider Directory

Locations

3000 Kingman St
Ste 210
Metairie, LA 70006
Phone (985) 438-7318

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1215600838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BURDETTE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184106",
            "telephone_number": "985-438-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KINGMAN ST STE 210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066633",
            "telephone_number": "985-438-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNXIONAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "GAUBERT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-438-7318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1205328200",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.