NPIMap

Organization Active NPI

Functional Solutions, Inc.

Doing business as Dynamic Physical & Occupation Therapist

  • Physical Therapy Clinic/Center
  • Hendersonville, TN
National Provider Identifier
1326133158
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FUNCTIONAL SOLUTIONS, INC.
Doing business as
Dynamic Physical & Occupation Therapist
Practice address
102 Fieldcrest Cir
Hendersonville, TN 37075-7082
Phone
(615) 429-1631
Fax
(615) 824-5971
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Mr. Marc Jonathan Dy, OTR/LNPI 1205849833
Title
Occupational Therapist
Phone
(615) 429-1631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

102 Fieldcrest Cir
Hendersonville, TN 37075-7082

Mailing address

102 Fieldcrest Cir
Hendersonville, TN 37075-7082
Phone (615) 429-1631

Other names 1

  • Dynamic Physical & Occupation Therapist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1326133158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FIELDCREST CIR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370757082",
            "telephone_number": "615-429-1631",
            "fax_number": "615-824-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FIELDCREST CIR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370757082",
            "telephone_number": "615-429-1631",
            "fax_number": "615-824-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "615-429-1631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Physical & Occupation Therapist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.