Toppenish Physical Therapy Rehabilitation Center, Inc., P.S.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TOPPENISH PHYSICAL THERAPY REHABILITATION CENTER, INC., P.S.

Doing business as

Toppenish Physical Therapy

Practice address

501 W 4TH Ave
Toppenish, WA 98948-1615

Phone

(509) 865-3141

Fax

(509) 865-7388

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dale Eugene Funk, P.T.NPI 1891848057

Title

President

Phone

(509) 865-3141

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Toppenish Physical Therapy Doing business as

Locations

Practitioners 1

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

• Dale Eugene Funk, P.T.

  • Specialist
  • Toppenish, WA
  • NPI 1891848057
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245383314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 4TH AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481615",
            "telephone_number": "509-865-3141",
            "fax_number": "509-865-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 4TH AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481615",
            "telephone_number": "509-865-3141",
            "fax_number": "509-865-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPPENISH PHYSICAL THERAPY REHABILITATION CENTER, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-865-3141",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & IND. GROUP #",
            "identifier": "0178563",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH GROUP #",
            "identifier": "2400",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123979",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toppenish Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantal Antoinette Thornburg
• Priscila N/a Tolentino, DH
• Emily Rose Topalanchik, RN
• Toppenish Chiropractic Clinic PS
• Toppenish Chiropractic Clinic, PS
• Nathan O. Town, MT(ASCP)
• Trebor Services LLC
• Gina Tynan, LMT
• Johanna Marie Umtuch, SUDPT
• Diego Upegui

• Specialist in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.