Functional Performance Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FUNCTIONAL PERFORMANCE PHYSICAL THERAPY, LLC

Practice address

100 Chetwynd Dr Ste 103
Bryn Mawr, PA 19010-1453

Phone

(610) 822-1072

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Seo, P.T.NPI 1639191919

Title

President

Phone

(610) 822-1072

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew Y Seo, P.T.

  • Physical Therapist
  • Bryn Mawr, PA
  • NPI 1639191919
  NPD Authorized official

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1760958441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHETWYND DR STE 103",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101453",
            "telephone_number": "610-822-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHETWYND DR STE 103",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101453",
            "telephone_number": "610-822-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PERFORMANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-822-1072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Samuel Friedman, DMD
• Wendy E Fuhr, MD
• Full Spectrum LLC
• April Fuller, L.S.W.
• Godfrey Joel Funari, DMD
• Christopher Ryan Fung, DPM
• Heather Gallagher, MSN CRNP
• Nina Rose Gallimore, PA-C
• Nancy Gambescia, PH.D.
• Juan Jose Gan, MD

• All providers in Bryn Mawr, PA
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.