Functional Wellness Centre, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

FUNCTIONAL WELLNESS CENTRE, LLC

Doing business as

Functional Wellness & Acupuncture

Practice address

91 Newport Rd Ste 302
Gap, PA 17527-9579

Phone

(717) 897-7801

NPI assigned

Jun 18, 2020

Last updated

Aug 11, 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

Mr. John A McCarthy, LACNPI 1871119578

Title

Owner

Phone

(717) 897-7801

Specialties & licenses 1

Addresses

Other names 1

• Functional Wellness & Acupuncture Doing business as

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.

• John A McCarthy, LAC

  • Acupuncturist
  • Gap, PA
  • NPI 1871119578
  NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1689290363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LINDEN AVE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194253662",
            "telephone_number": "717-897-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NEWPORT RD STE 302",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279579",
            "telephone_number": "717-897-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL WELLNESS CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-897-7801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Wellness & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Functional Wellness & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Gap, PA
• Providers in Gap, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.