Organization Active NPI

Functional Physical Therapy of Oxford

  • Physical Therapist
  • Oxford, MI
National Provider Identifier
1780635086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FUNCTIONAL PHYSICAL THERAPY OF OXFORD
Practice address
162 S Washington St
Oxford, MI 48371-6417
Phone
(248) 673-6980
Fax
(248) 673-7497
NPI assigned
May 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deanna Thayer
Title
Manager, Billing Department
Phone
(248) 673-6980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MI Primary

Addresses

Primary practice location

162 S Washington St
Oxford, MI 48371-6417

Mailing address

4206 Pontiac Lake Rd
Waterford, MI 48328-1261
Phone (248) 673-6980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780635086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281261",
            "telephone_number": "248-673-6980",
            "fax_number": "248-673-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716417",
            "telephone_number": "248-673-6980",
            "fax_number": "248-673-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PHYSICAL THERAPY OF OXFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "MANAGER, BILLING DEPARTMENT",
        "authorized_official_telephone_number": "248-673-6980"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.