Functional Physical Medicine Associates LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FUNCTIONAL PHYSICAL MEDICINE ASSOCIATES LLC

Practice address

4418 22ND St NW
Canton, OH 44708-1574

Phone

(330) 479-9645

Fax

(888) 892-8335

NPI assigned

Jan 29, 2013

Last updated

Jan 29, 2013By 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

Ms. Casandra Rose Engelbach

Title

Office Manager/Credentialing Contac

Phone

(330) 479-9645

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1750629515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 22ND ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081574",
            "telephone_number": "330-479-9645",
            "fax_number": "888-892-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 22ND ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081574",
            "telephone_number": "330-479-9645",
            "fax_number": "888-892-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PHYSICAL MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "ENGELBACH",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OFFICE MANAGER/CREDENTIALING CONTAC",
        "authorized_official_telephone_number": "330-479-9645",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole C. Fuller, LPCC-S
• Scott R Fuller, DO
• Katrina E Fulmer, CRNA
• Fulton Pharmacy, Inc. (Fulton Drugs)
• Fulton Road Pharmacy Inc (Fulton Drugs)
• Sabrina L Funk, AGACNP
• Thomas J Funk, PCC
• Veldo Funwie
• Kaley Furner, LSW
• Hilary Futo, LISW

• Physical Medicine & Rehabilitation Physician in Canton, OH
• Providers in Canton, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.