Individual provider Active NPI

Robert Anthony Funk, PT, MSPT

  • Physical Therapist
  • Moody, AL
National Provider Identifier
1780764639
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3350 Issued in AL
Practice address
2846 Moody Pkwy Ste 200
Moody, AL 35004
Phone
(205) 640-0257
Fax
(205) 640-0285
NPI assigned
Oct 16, 2006
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3350 AL Primary

Addresses

Primary practice location

2846 Moody Pkwy Ste 200
Moody, AL 35004

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1115 Payton Way
Leeds, AL 35094-1128
Phone (205) 699-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000259 AL Practitioner - Physical Therapist in Private Practice 8921017955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Beyond Physical Therapy of Vestavia LLCGroup PAC ID 5496129652, 7 clinicians

Practice addresses (Care Compare)

100 Centerview Dr
Suite 190
Vestavia Hills, AL 35216-3774
Phone (205) 824-0610

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Current Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Beyond Physical Therapy of Vestavia, LLC Physical Therapist CurrentSince Oct 5, 2023 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Mar 12, 2019 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Mar 12, 2019 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Past Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist Past Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1115 Payton Way
Leeds, AL 35094
Phone (205) 392-2494

41 Eminence Way
Ste B
Pell City, AL 35128
Phone (205) 540-7330

100 Centerview Dr
Ste 190
Vestavia Hills, AL 35216
Phone (205) 453-9228

790 Remington Blvd
Bolingbrook, IL 60440

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1780764639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 MOODY PKWY STE 200",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "35004",
            "telephone_number": "205-640-0257",
            "fax_number": "205-640-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Payton Way",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "AL",
            "postal_code": "350941128",
            "country_code": "US",
            "telephone_number": "205-699-8280",
            "fax_number": "205-699-8281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.