Functional Performance and Athletics: Doctors of Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FUNCTIONAL PERFORMANCE AND ATHLETICS: DOCTORS OF PHYSICAL THERAPY

Doing business as

Functional Performance and Athletics: DPT

Practice address

2 E Poplar St
Walla Walla, WA 99362-3009

Phone

(509) 876-0090

Fax

(509) 876-0091

NPI assigned

Apr 6, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew J Baerlocher, PT, DPTNPI 1851738637

Title

Owner, DPT

Phone

(605) 695-5768

Specialties & licenses 1

Addresses

Other names 1

• Functional Performance and Athletics: DPT Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Joseph Baerlocher, DPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1851738637
  NPD Authorized official

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1881389732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623009",
            "telephone_number": "509-876-0090",
            "fax_number": "509-876-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623009",
            "telephone_number": "509-876-0090",
            "fax_number": "509-876-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PERFORMANCE AND ATHLETICS: DOCTORS OF PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "BAERLOCHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, DPT",
        "authorized_official_telephone_number": "605-695-5768",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Performance and Athletics: DPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan C. Friesen, FNP, ARNP
• Trevin Fritschka, DPT
• Michael K Frizelle, FNP
• Nathan Fry, ATC
• Chao Fu, PHARM.D
• Kim Evangeline Funderburk, MSW
• Nicole Ryan Gaizo, PHARMD
• Morgan C Galante, DO
• Ian Salzman Gallaher, MD
• Shonda Gannon

• Physical Therapy Clinic/Center in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.