Individual provider Active NPI

Laura A Funk, PT, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1801496872
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP013190T Issued in CO
Practice address
5005 S Kipling Pkwy Ste A4
Littleton, CO 80127-1375
Phone
(303) 274-7331
Fax
(720) 497-6726
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01965000 NJ
Physical Therapist 225100000X 13821 TN
Physical Therapist 225100000X PT015702 GA
Physical Therapist 225100000X P20979 NC
Physical Therapist 225100000X CP013190T CO Primary

Addresses

Primary practice location

5005 S Kipling Pkwy Ste A4
Littleton, CO 80127-1375

Mailing address

5005 S Kipling Pkwy Ste A4
Littleton, CO 80127-1375
Phone (303) 274-7331

Other practice location 1

3562 Route 27, Suite 124
Kendall Park, NJ 08824
Phone (732) 853-8177

Other practice location 2

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone (901) 522-6440

Other practice location 3

11172 Highway 142 N
Covington, GA 30014-2547
Phone (678) 712-3692

Other practice location 4

2050 Scenic Hwy N Ste A
Snellville, GA 30078-2688
Phone (678) 344-7197

Other practice location 5

7201 Turner Lake Rd NW Ste 13
Covington, GA 30014-2067
Phone (470) 444-1609

Other practice location 6

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TN, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201116001701 NJ Practitioner - Physical Therapist in Private Practice 8022429448 Reassigns benefits to 3 organizations
I20210921002673 TN Practitioner - Physical Therapist in Private Practice 8022429448 Reassigns benefits to 2 organizations
I20220317002001 NC Practitioner - Physical Therapist in Private Practice 8022429448

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MBH Physical Therapy and Sports MedicineGroup PAC ID 9234584566, 3 clinicians

Practice addresses (Care Compare)

80 Pompton Ave
Suite 302
Verona, NJ 07044-2913
Phone (973) 207-8776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP013190TCOMDPhysical Therapist
PT015702GAMDPhysical Therapist
P20979NCMDPhysical Therapist
40QA01965000NJMDPhysical Therapist
13821TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Jul 26, 2022 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jul 26, 2022 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients

Locations

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

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

5005 S Kipling Pkwy
Ste A4
Littleton, CO 80127
Phone (303) 274-7331

1991 Fordham Dr
Ste 100
Fayetteville, NC 28304
Phone (910) 484-3114

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

3562 State Route 27
Ste 124
Kendall Park, NJ 08824
Phone (732) 317-4105

19 Mule Rd
Toms River, NJ 08755
Phone (732) 240-1400

627 Camp Jordan Pkwy
Ste 107
Chattanooga, TN 37412
Phone (423) 704-9696

2100 Exeter Rd
Ste 200
Germantown, TN 38138
Phone (901) 522-6440

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1801496872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 S KIPLING PKWY STE A4",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271375",
            "telephone_number": "303-274-7331",
            "fax_number": "720-497-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 S KIPLING PKWY STE A4",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271375",
            "telephone_number": "303-274-7331",
            "fax_number": "720-497-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3562 Route 27, Suite 124",
            "address_purpose": "LOCATION",
            "city": "Kendall Park",
            "state": "NJ",
            "postal_code": "08824",
            "country_code": "US",
            "telephone_number": "732-853-8177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Exeter Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-522-6440",
            "fax_number": "901-757-2507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11172 Highway 142 N",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300142547",
            "country_code": "US",
            "telephone_number": "678-712-3692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Scenic Hwy N Ste A",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782688",
            "country_code": "US",
            "telephone_number": "678-344-7197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 Turner Lake Rd NW Ste 13",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300142067",
            "country_code": "US",
            "telephone_number": "470-444-1609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 Fordham Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01965000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13821",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015702",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20979",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP013190T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.