Functional Form Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTIONAL FORM PHYSICAL THERAPY, LLC

Practice address

5400 Westbard Ave Ste 290
Bethesda, MD 20816-1520

Phone

(202) 285-6292

NPI assigned

Dec 16, 2025

Organization subpart

No

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

Authorized official

Name

Antoine Touma, MSPTNPI 1467477695

Title

Owner

Phone

(202) 285-6292

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.

• Antoine Touma, MSPT, FAAOMPT

  • Physical Therapist
  • Bethesda, MD
  • NPI 1467477695
  NPD Authorized official

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1215891973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 WHITEHAVEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061129",
            "telephone_number": "202-285-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 WESTBARD AVE STE 290",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161520",
            "telephone_number": "202-285-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16205 Whitehaven Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209061129",
            "country_code": "US",
            "telephone_number": "202-285-6292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNCTIONAL FORM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "TOUMA",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-285-6292",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Teresa Fuller, RD,LD
• Rebekah Fuller
• Ariel Fulmer
• Isabella Barletta Funari, DMD
• Katharine Funari, O.D
• Natalie Marie Furio, PA-C
• Leyland Skyler Furr
• Fusion Dental
• G4 Hearing Inc
• Bianca Gabardo

• Physical Therapist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.