Active NPI
Functional Life Achievement
- Early Intervention Provider Agency
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 2305418
- Legal business name
- FUNCTIONAL LIFE ACHIEVEMENT
- Practice address
- 161 Madison Ave
2ND Floor
New York, NY 10016-5421 - Phone
- (212) 683-8905
- NPI assigned
- Oct 6, 2011
- Last updated
- Oct 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyllis Parisi-Ellis
- Title
- Ed Supervisor
- Phone
- (718) 886-6456
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 2305418 | NY | Primary |
Addresses
Primary practice location
161 Madison Ave
2ND Floor
New York, NY 10016-5421
Mailing address
161 Madison Ave
2ND Floor
New York, NY 10016-5421
Phone (212) 683-8905
National Provider Directory
National Provider Directory- Tax ID family
- Functional Life Achievement Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- New York, NY
- NPI 1205066164
-
- Early Intervention Provider Agency
- New York, NY
- NPI 1336401785
Practitioners & affiliated clinicians
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.
-
- Specialist
- New York, NY
- NPI 1063774206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317859200000",
"number": "1548544620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 MADISON AVE",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165421",
"telephone_number": "212-683-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MADISON AVE",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165421",
"telephone_number": "212-683-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL LIFE ACHIEVEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A",
"authorized_official_last_name": "PARISI-ELLIS",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_title_or_position": "ED SUPERVISOR",
"authorized_official_telephone_number": "718-886-6456"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "2305418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Betsy Fumelus, PA
- Megan Selenow Fumerton, M.A.
- Michelle M Funaioli, LCSW
- Funcphysio Physical Therapy P.C.
- Function First Physical Therapy P C
- Functional Life Achievement, Inc
- Functional Life Achievement, Inc.
- Functional Life Achievement. Ink.
- Functional Life Achievements Inc
- Functional Manual Physical Therapy Services (Ipa Soho)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.