Organization Active NPI

Functiona; Physical Fitness

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1790640829
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FUNCTIONA; PHYSICAL FITNESS
Practice address
409 S Gomez Ave Apt 1
Tampa, FL 33609-4194
Phone
(959) 200-2267
NPI assigned
Dec 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Authorized official

Name
Jia GatesNPI 1174488209
Title
Founder/Physical Therapist
Phone
(959) 200-2267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

409 S Gomez Ave Apt 1
Tampa, FL 33609-4194

Mailing address

409 S Gomez Ave Apt 1
Tampa, FL 33609-4194
Phone (959) 200-2267

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1790640829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S GOMEZ AVE APT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094194",
            "telephone_number": "959-200-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S GOMEZ AVE APT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094194",
            "telephone_number": "959-200-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONA; PHYSICAL FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-20",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JIA",
        "authorized_official_title_or_position": "FOUNDER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "959-200-2267"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.