Functional Integrated Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2050329 Issued in TX

Legal business name

FUNCTIONAL INTEGRATED THERAPY, PLLC

Practice address

12559 Sharps LN
Magnolia, TX 77354-6198

Phone

(281) 814-5948

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Chad SandersonNPI 1306887583

Title

Ceo

Phone

(281) 814-5948

Specialties & licenses 1

Addresses

Practitioners 1

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

• Chad Sanderson

  • Physical Therapy Assistant
  • Magnolia, TX
  • NPI 1306887583
  NPD (past) Authorized official

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1649649260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12559 SHARPS LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12559 SHARPS LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546198",
            "telephone_number": "281-814-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL INTEGRATED THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-814-5948"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "2050329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Shaunda Franks
• Annie Laurie Frazier, PTA
• Jennifer Leigh Friedrich, M.S., CCC-SLP
• Brittany Fritz, MSN, FNP-C
• Ganiyah Fuller
• Cerita Gaddi, D.C.
• Lindsye G Gallo, BT
• Alma Galvan
• Ailyn Garcia
• Brittany Garcia

• Physical Therapy Clinic/Center in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.