Functional Performance Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3665 Issued in AZ

Legal business name

FUNCTIONAL PERFORMANCE CENTER LLC

Practice address

2065 S Cottonwood Dr Ste 1
Tempe, AZ 85282-3040

Phone

(480) 968-2020

Fax

(480) 968-0404

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Derek StevesonNPI 1790885564

Title

MGR

Phone

(480) 968-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 8

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

• Derek Steveson, D.P.T.

  • Physical Therapist
  • Tempe, AZ
  • NPI 1790885564
  Medicare reassignment Care Compare group Authorized official
• Brooke Iseler, PT

  • Physical Therapist
  • Tempe, AZ
  • NPI 1649710302
  Medicare reassignment Care Compare group NPD
• Sara Ullenbruch-Zarezadeh, PT, DPT

  • Orthopedic Physical Therapist
  • Tempe, AZ
  • NPI 1568883098
  Medicare reassignment Care Compare group
• Elizabeth Ann McNabb, DPT

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1891970216
  NPD
• Mark D'Aloisio, M.P.T.

  • Physical Therapist
  • Tempe, AZ
  • NPI 1841390614
  NPD (past)
• Craig C Galbasini, P.T.

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1760582530
  NPD (past)
• Kyle Bryant Herrig, MS,ATC,CSCS

  • Athletic Trainer
  • Tempe, AZ
  • NPI 1245296920
  NPD (past)
• Shelley Vaszar, PT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1801062484
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1730146283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 S COTTONWOOD DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-968-2020",
            "fax_number": "480-968-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 S COTTONWOOD DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-968-2020",
            "fax_number": "480-968-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PERFORMANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "STEVESON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "480-968-2020"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0463350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Fuentes, PHARM D.
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• Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC
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• Brittany Nicole Fuller, ST
• Jason Funderburk, PHARMD
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• Alexandria Elizabeth Gaarde
• Mollie Gaeddert, MSN, FNP-BC

• Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.