Functional Integrative Training, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16878 Issued in FL

Legal business name

FUNCTIONAL INTEGRATIVE TRAINING, INC.

Doing business as

Peak Fitness and Rehab

Practice address

19 Old Kings Rd N Ste C107
Palm Coast, FL 32137-8261

Phone

(386) 445-2348

Fax

(386) 269-4907

NPI assigned

Apr 16, 2007

Last updated

Dec 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Desiree Montanari Challice, P.T., DPTNPI 1063637809

Title

President

Phone

(386) 445-2348

Specialties & licenses 1

Addresses

Other names 1

• Peak Fitness and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Desiree Montanari Challice I, P.T., DPT

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1063637809
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1669697413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354932",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321354932",
            "telephone_number": "386-445-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD KINGS RD N STE C107",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378261",
            "telephone_number": "386-445-2348",
            "fax_number": "386-269-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL INTEGRATIVE TRAINING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "CHALLICE",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "MONTANARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-445-2348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T., DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Fitness and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arwen Frye
• Kristen Ann Fuentes, HAS
• Sara Fulkerson
• Richard Sean Fulmer, LMT, CPT
• Aislynn Christine Fulton, M.A.
• Nick Furlong
• Michael Gable, DO
• Alexandra Kelly Gabriel, ARNP
• Melany Gabrielli, PA
• Brittany Violet Gaeta

• Physical Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.