Organization Active NPI

Functional Capacity Interventions

  • Physical Therapy Clinic/Center
  • El Cajon, CA
National Provider Identifier
1639574189
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
28858 Issued in CA
Legal business name
FUNCTIONAL CAPACITY INTERVENTIONS
Practice address
198 W Main St
El Cajon, CA 92020-3399
Phone
(619) 444-6113
Fax
(619) 719-5525
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Mr. Adam Scott Iannazzo, PTNPI 1417173006
Title
Principal Member
Phone
(619) 363-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 28858 CA Primary

Addresses

Primary practice location

198 W Main St
El Cajon, CA 92020-3399

Mailing address

1201 Avocado Ave PMB 189
El Cajon, CA 92020-7704
Phone (619) 444-6113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1639574189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AVOCADO AVE PMB 189",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920207704",
            "telephone_number": "619-444-6113",
            "fax_number": "619-719-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 W MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203399",
            "telephone_number": "619-444-6113",
            "fax_number": "619-719-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL CAPACITY INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "IANNAZZO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRINCIPAL MEMBER",
        "authorized_official_telephone_number": "619-363-2324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "28858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.