Functional Outcome Therapy Services, Incorporated

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305204567 Issued in VA

Legal business name

FUNCTIONAL OUTCOME THERAPY SERVICES, INCORPORATED

Practice address

3959 Bournemouth BND
Williamsburg, VA 23188-6637

Phone

(757) 634-9842

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fredrick E Crawford Jr., DPT

Title

Physical Therapist/President

Phone

(757) 634-9842

Specialties & licenses 1

Addresses

Other names 1

• Functional Outcome Therapy Services, Incorporated Doing business as

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1306028162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 BOURNEMOUTH BND",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886637",
            "telephone_number": "757-869-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BOURNEMOUTH BND",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886637",
            "telephone_number": "757-634-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL OUTCOME THERAPY SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "757-634-9842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305204567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Outcome Therapy Services, Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karanita Fuller, PHARMD
• Ross S Fuller, DDS
• William Lloyd Fullerton, D.D.S.
• David R. Fulp, M.D.
• Nadia Fulton, PHARMD
• Jessica Ann Furiness, LPC
• Fusion Chiropractic, LLC
• Matthew Louis Gada, O.D.
• Tushar Umakant Gajjar, M.D.
• Michael Lucas Gambill, DO

• Physical Therapy Clinic/Center in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.