Functional at Home LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTIONAL AT HOME LLC

Practice address

1402 Summersweet Cir
Lewis Center, OH 43035-7200

Phone

(419) 957-0561

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Adam Snyder, PTNPI 1326353178

Title

Owner

Phone

(419) 957-0561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Adam J Snyder, MPT

  • Physical Therapist
  • Lewis Center, OH
  • NPI 1326353178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1639945298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 SUMMERSWEET CIR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357200",
            "telephone_number": "419-957-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 SUMMERSWEET CIR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357200",
            "telephone_number": "419-957-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-957-0561",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Francis, MS, RN, ACNS-BC
• Philip Louis Frank, M.S., A.T.C., C.E.S.
• Justin Frasher
• Jocelyn R Freyman, MOT
• Jay Asbury Fry, LISW
• Barbara Furlow
• Emma Fury, LSW
• Melissa Converse Gallatin, PT, OCS, ATC
• Anita Gearhart, LSW
• Genuine LTD

• Physical Therapist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.