Ralph Richard Funk II, KINESIOTHERAPIST

Primary specialty

KinesiotherapistTaxonomy code 226300000X

License

880 Issued in MS

Practice address

Bay Pines Veterans Administration Healthcare Sysytem
10,000 Bay Pines Blvd
Bay Pines, FL 33744-5005

Phone

(727) 398-6661

Fax

(727) 398-9440

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396843488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10322 107TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734115",
            "telephone_number": "727-398-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAY PINES VETERANS ADMINISTRATION HEALTHCARE SYSYTEM",
            "address_2": "10,000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337445005",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK II",
        "first_name": "RALPH",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "KINESIOTHERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "MS",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Freed, PHARMD
• Delva M Freeman, CLVT
• Kevin Frye, PHARM.D
• Karla S Fuentes, APRN
• Denise Marie Fuller I, ARNP
• Brooke Gabel, PHARM.D.
• Valpersia D Gainers-Hasugluw, D.O.
• Naveen Kumar Gande, MD
• Christopher Alan Gantt, RCSWI
• Pamela Galang Garcia, NP

• Kinesiotherapist in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Kinesiotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.