Function in Movement Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTION IN MOVEMENT PHYSICAL THERAPY

Practice address

1351 Reed Ave Apt 1
San Diego, CA 92109-5133

Phone

(609) 668-8483

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Michael Anthony Tully, PT, DPTNPI 1770092413

Title

Ceo

Phone

(609) 668-8483

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.

• Michael Anthony Tully, DPT

  • Physical Therapist
  • Temecula, CA
  • NPI 1770092413
  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1730706862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 REED AVE APT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095133",
            "telephone_number": "609-668-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 REED AVE APT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095133",
            "telephone_number": "609-668-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION IN MOVEMENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-668-8483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Fultz
• Fun Lac
• Function Fit Rehab
• Function Fit Rehabilitation
• Function Foundation, Inc. (Rehab United Sports Medicine & Physical Therapy, Inc)
• Functional Athletics LLC (Egoscue of San Diego)
• Functional Physical Therapy Solutions Inc (Coastal Orthotics)
• Functionsmart
• Fundamental Health
• Paige Noelle Funderburk, OTD, CLT, NDT

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.