Individual provider Active NPI

Joshua Funk, DPT, CSCS

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1659669679
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23730 Issued in MD
Practice address
1341 Hughes Ford Rd Ste 104
Frederick, MD 21701
Phone
(301) 798-4838
Fax
(301) 798-4876
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23730 MD Primary

Addresses

Primary practice location

1341 Hughes Ford Rd Ste 104
Frederick, MD 21701

Mailing address

1341 Hughes Ford Rd Ste 104
Frederick, MD 21701-3134
Phone (301) 798-4838

Other practice location 1

20310 Seneca Meadows Pkwy Ste B
Germantown, MD 20876-7004
Phone (301) 798-4838 ext. 2

Other practice location 2

10082 Tyler Ct Ste B
Ijamsville, MD 21754-8709
Phone (301) 467-8757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20111101000526 DC Practitioner - Physical Therapist in Private Practice 9234302589 Reassigns benefits to 1 organization
I20140127000211 MD Practitioner - Physical Therapist in Private Practice 9234302589 Reassigns benefits to 1 organization
I20240621000151 VA Practitioner - Physical Therapist in Private Practice 9234302589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23730MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Rehab 2 Perform LLC Physical Therapist Past Accepting new patients
Rehab 2 Perform LLC Physical Therapist Past Accepting new patients
Rehab 2 Perform LLC Physical Therapist Past Accepting new patients
Rehab 2 Perform LLC Physical Therapist Past Accepting new patients

Locations

1750 Forest Dr
Ste 145
Annapolis, MD 21401
Phone (301) 381-0738

6710A Rockledge Dr
Ste 120A
Bethesda, MD 20817

1341 Hughes Ford Rd
Ste 104
Frederick, MD 21701
Phone (301) 450-8038

20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986

20310 Seneca Meadows Pkwy
#B
Germantown, MD 20876
Phone 3017984838 ext. 2

10082 Tyler Ct
Ste B
Ijamsville, MD 21754
Phone (301) 467-8757

38 Catoctin Cir SE
Ste 38C
Leesburg, VA 20175
Phone (301) 450-7560

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1659669679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 HUGHES FORD RD STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013134",
            "telephone_number": "301-798-4838",
            "fax_number": "301-798-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 HUGHES FORD RD STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-798-4838",
            "fax_number": "301-798-4876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20310 Seneca Meadows Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208767004",
            "country_code": "US",
            "telephone_number": "301-798-4838 x2",
            "fax_number": "301-798-4876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10082 Tyler Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Ijamsville",
            "state": "MD",
            "postal_code": "217548709",
            "country_code": "US",
            "telephone_number": "301-467-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.