Functional Advantage, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012987 Issued in MI

Legal business name

FUNCTIONAL ADVANTAGE, LLC

Practice address

5866 Midland Rd
Freeland, MI 48623-8707

Phone

(989) 579-8588

Fax

(989) 573-8589

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Neil William Sauer, DPTNPI 1730482746

Title

Physical Therapist

Phone

(989) 714-3183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Neil William Sauer, DPT

  • Physical Therapist
  • Hemlock, MI
  • NPI 1730482746
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1225324734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238707",
            "telephone_number": "989-573-8588",
            "fax_number": "989-573-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238707",
            "telephone_number": "989-579-8588",
            "fax_number": "989-573-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "989-714-3183",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Dicken Fischer, BEHAVIOR ANALYST
• Freeland Family Medicine PC
• Freeland Foot and Ankle Clinic LLC
• Thomas L French, BA
• Gavin Andrus Fruge, DDS
• Angela Garcia
• Angelica Eileen Gardiner
• Kimberly Diane Gowenlock
• H2 Dermatology PLLC
• Ali H Hamade, M.D

• Physical Therapist in Freeland, MI
• Providers in Freeland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.