Functional Performance Therapy Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FUNCTIONAL PERFORMANCE THERAPY INC.

Practice address

901 SW Higgins Ave
Missoula, MT 59803-3600

Phone

(912) 656-6532

NPI assigned

Jul 23, 2025

Organization subpart

No

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

Authorized official

Name

Andrew IaderosaNPI 1396224531

Title

Owner

Phone

(912) 656-6532

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.

• Andrew Iaderosa

  • Occupational Therapist
  • Missoula, MT
  • NPI 1396224531
  NPD Authorized official

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1275415945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 JACKSON ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023839",
            "telephone_number": "912-656-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598033600",
            "telephone_number": "912-656-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PERFORMANCE THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "IADEROSA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-656-6532"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuzo Fujiki
• Full Care Dental PLLC
• Full Circle Counseling Solutions
• Full Circle Counseling Solutions LLC
• Functional Medicine of Missoula PLLC
• Functional Performance Therapy, Inc.
• Hillary Swan Funk Welzenbach, LCPC
• Roger Furlong, MD
• Paige K Furniss, LCSW
• Elena Furrow, M.D.

• Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.