Functional Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FUNCTIONAL WELLNESS LLC

Practice address

310 Marlboro St Ste 267
Keene, NH 03431-4118

Phone

(518) 496-0219

NPI assigned

Mar 25, 2026

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Peter Gray, LMTNPI 1558941690

Title

Member

Phone

(603) 606-0487

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Peter Gray

  • Massage Therapist
  • Keene, NH
  • NPI 1558941690
  NPD Authorized official

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1457290710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MARLBORO ST STE 267",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314118",
            "telephone_number": "603-606-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MARLBORO ST STE 267",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314118",
            "telephone_number": "518-496-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-606-0487",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth O Fries
• Steven B. Friese, MD
• Ivar Leslie Frithsen, MD
• Alexandra Megan Frost
• Ronalee Mae Frost
• Mark Funk, MD
• Robert John Fusco, M.S.W., LICSW
• G a Perry DDS Keene
• Juliana Gabriel
• Marguerite Rose Gadbois

• Clinic/Center in Keene, NH
• Providers in Keene, NH by specialty
• Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.