Justin Alan Funck, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE008288 Issued in PA

Practice address

2829 Lititz Pike
Lancaster, PA 17601-3321

Phone

(717) 431-2746

NPI assigned

Oct 15, 2009

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1255666822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CRESTON DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170461873",
            "telephone_number": "717-926-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 LITITZ PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013321",
            "telephone_number": "717-431-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNCK",
        "first_name": "JUSTIN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI002553",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE008288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fueling Well LLC
• Michael A Fueyo, MD
• Fulfilling Needs Homecare LLC
• Julia Darlene Fuller, C.R.N.A.
• Rienna P Fulmer, PA-C
• Function 1St, LLC
• Functional Freedom LLC
• Functional Health of Lancaster LLC
• Michael Eugene Funk, D.M.D.
• Roanne Norine Funk, LPC

• Physical Therapy Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physical Therapy Assistant in Pennsylvania

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