Functional Performance Training and Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 1084 Issued in OK

Legal business name

FUNCTIONAL PERFORMANCE TRAINING AND PHYSICAL THERAPY, PLLC

Practice address

13512 N Eastern Ave
Suite a
Oklahoma City, OK 73131-1812

Phone

(405) 478-5333

Fax

(405) 478-5334

NPI assigned

Dec 2, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mark S Cranston, P.T.

Title

Owner

Phone

(405) 850-1375

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jeff B. Courcier, P.T.

  • Clinical Electrophysiology Physical Therapist
  • Edmond, OK
  • NPI 1205935251
  NPD (past)
• Melinda Carlene Courcier, R.P.T.

  • Physical Therapist
  • Edmond, OK
  • NPI 1831337955
  NPD (past)
• Mary Tetteh, DPT

  • Physical Therapist
  • Edmond, OK
  • NPI 1568821783
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1548538655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 N EASTERN AVE",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311812",
            "telephone_number": "405-478-5333",
            "fax_number": "405-478-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 N EASTERN AVE",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311812",
            "telephone_number": "405-478-5333",
            "fax_number": "405-478-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PERFORMANCE TRAINING AND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "CRANSTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-850-1375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "PT 1084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulton Eye Care PLLC
• Samantha A Fulton
• Angela Fultz, M.A.
• Jeremy D Fultz
• Functional Assestment Centers of Oklahoma
• Functional Wellness LLC
• Janet Leigh Fundaro, ARNP
• Beverly W Funderburk, PHD
• Charles Harwood Funderburk Jr., MD
• Kar-Ming A Fung, MD,PHD

• Physical Therapy Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.