Function in Motion Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028539 Issued in NY

Legal business name

FUNCTION IN MOTION PHYSICAL THERAPY PC

Practice address

930 Sheridan Ave Ste 5
Bronx, NY 10451-3339

Phone

(718) 942-5133

Fax

(718) 942-5134

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Vic Guerrero Balaoing, PTNPI 1336318062

Title

Owner

Phone

(718) 942-5133

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Vic Guerrero Balaoing, PT

  • Physical Therapist
  • Bronx, NY
  • NPI 1336318062
  Medicare reassignment Authorized official
• Vincent Sto Tomas, PT, DPT

  • Physical Therapist
  • Bronx, NY
  • NPI 1841407103
  Medicare reassignment
• Marianne Terrado Estira, P.T.

  • Physical Therapist
  • Bronx, NY
  • NPI 1407181340
  NPD (past)
• Harold Christian Doriman Gravador

  • Physical Therapist
  • Flushing, NY
  • NPI 1174300305
  NPD (past)
• Hazel Katherine Sto Tomas, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1275808107
  NPD (past)
• Vaibhavi Rathod, PT

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1356089882
  NPD (past)

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1316331200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 31ST AVE UNIT 3CH",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771645",
            "telephone_number": "347-807-8132",
            "fax_number": "718-942-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SHERIDAN AVE STE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513339",
            "telephone_number": "718-942-5133",
            "fax_number": "718-942-5134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 E 161st St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104513521",
            "country_code": "US",
            "telephone_number": "718-393-5567",
            "fax_number": "917-645-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNCTION IN MOTION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "BALAOING",
        "authorized_official_first_name": "VIC",
        "authorized_official_middle_name": "GUERRERO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-942-5133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03374870",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04897985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy P Fuller, PHD
• Elizabeth Fulton
• Latoya Fulton
• Laura Karina Fumero Maduro, MD
• Fun With Speech Therapy
• Function Wheels LLC
• Functional and Integrative Medical Health Care P.C.
• Functional Health Incorporated
• Functional Motion Physical Therapy PC
• Functional Therapeutic Services Inc.

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.