Active NPI
Robert Funk & Associates Physical Therapy, Inc
- Physical Therapist
- Moody, AL
National Provider Identifier
1891837712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3350
- Legal business name
- ROBERT FUNK & ASSOCIATES PHYSICAL THERAPY, INC
- Practice address
- 2345 Moody Pkwy
Ste 206
Moody, AL 35004-3004 - Phone
- (205) 640-4881
- Fax
- (205) 640-4882
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 9, 2012
- 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
- Dean Speers
- Title
- VP, Director of Business Operations
- Phone
- (205) 640-4881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3350 | AL | Primary |
Addresses
Primary practice location
2345 Moody Pkwy
Ste 206
Moody, AL 35004-3004
Mailing address
2345 Moody Pkwy
Ste 206
Moody, AL 35004-3004
Phone (205) 640-4881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51533197 | Other | AL | BLUE CROSS OF AL |
National Provider Directory
National Provider DirectoryLocations
151 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 981-4534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344470400000",
"number": "1891837712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 MOODY PKWY",
"address_2": "STE 206",
"city": "MOODY",
"state": "AL",
"postal_code": "350043004",
"telephone_number": "205-640-4881",
"fax_number": "205-640-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 MOODY PKWY",
"address_2": "STE 206",
"city": "MOODY",
"state": "AL",
"postal_code": "350043004",
"telephone_number": "205-640-4881",
"fax_number": "205-640-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT FUNK & ASSOCIATES PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2012-08-09",
"status": "A",
"authorized_official_last_name": "SPEERS",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "VP, DIRECTOR OF BUSINESS OPERATIONS",
"authorized_official_telephone_number": "205-640-4881"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "51533197",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moody, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.