Function Health and Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTION HEALTH AND WELLNESS

Doing business as

Fyziotherapy

Practice address

829 Deltona Blvd
Suite 204
Deltona, FL 32725-7132

Phone

(386) 259-9838

Fax

(386) 259-9834

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Samuel Lavarias, PT

Title

Administrator

Phone

(386) 259-9838

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fyziotherapy Doing business as

Locations

Practitioners 1

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

• Esther Ngo Nguyen, PTA

  • Physical Therapy Assistant
  • Casselberry, FL
  • NPI 1235884321
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1386072882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 DELTONA BLVD",
            "address_2": "SUITE 204",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257132",
            "telephone_number": "386-259-9838",
            "fax_number": "386-259-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 DELTONA BLVD",
            "address_2": "SUITE 204",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257132",
            "telephone_number": "386-259-9838",
            "fax_number": "386-259-9834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075352",
            "country_code": "US",
            "telephone_number": "407-777-2555",
            "fax_number": "386-259-9834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNCTION HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "LAVARIAS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-259-9838",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010925600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyziotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyziotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Howard Freiman, RPH
• Alexandra Fry, MD
• Adays Fuentes Chacon
• Paul D Fuldauer, RD
• Jade Fulkerson
• Lejanise Fuster
• Christina Ann Gagliardy, COTA/L
• Kaleah Shantil Gaines
• Carol Gambeski, RPH
• Delio R Gamez

• Physical Therapist in Deltona, FL
• Providers in Deltona, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.