Organization Active NPI

Robert Funk & Associates Physical Therapy, Inc

  • Physical Therapist
  • Moody, AL
National Provider Identifier
1891837712
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3350 Issued in AL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51533197OtherALBLUE CROSS OF AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.