Active NPI
Functional Pediatrics LLC
- Physical Therapist
- Stratford, TX
National Provider Identifier
1821912924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FUNCTIONAL PEDIATRICS LLC
- Practice address
- 317 N Main St
Stratford, TX 79084-1189 - Phone
- (806) 366-0000
- Fax
- (806) 366-7878
- NPI assigned
- Aug 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Johnson, RPT MBA ATC
- Title
- Owner
- Phone
- (806) 366-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
317 N Main St
Stratford, TX 79084-1189
Mailing address
PO Box 1189
Stratford, TX 79084-1189
Phone (806) 366-0000
National Provider Directory
National Provider DirectoryLocations
317 N Main St
Stratford, TX 79084
Phone (806) 366-5505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1821912924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "STRATFORD",
"state": "TX",
"postal_code": "790841189",
"telephone_number": "806-366-0000",
"fax_number": "806-366-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N MAIN ST",
"city": "STRATFORD",
"state": "TX",
"postal_code": "790841189",
"telephone_number": "806-366-0000",
"fax_number": "806-366-7878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-366-0000",
"authorized_official_credential": "RPT MBA ATC"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.