Harjienne Deive Fundal

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051729 Issued in NY

Practice address

162 W 56TH St Ste 302
New York, NY 10019-3892

Phone

(929) 472-5195

NPI assigned

Feb 3, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Touch Nyc Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1487951661
  Medicare reassignment NPD

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1821802612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE APT 10I",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734580",
            "telephone_number": "929-472-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W 56TH ST STE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193892",
            "telephone_number": "929-472-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDAL",
        "first_name": "HARJIENNE DEIVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Life Achievement. Ink.
• Functional Life Achievements Inc
• Functional Manual Physical Therapy Services (Ipa Soho)
• Functional Nurse Practitioner in Family Health
• Functional Pelvis Inc
• Fundamental Acupuncture PLLC
• Casey Norei Funderburk
• Christopher D. Funderburk, M.D., M.S.
• Jan Salvador Fune, MD
• Fung Chan MD PLLC

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.