NPIMap

Organization Active NPI

Functional Fitness and Physical Therapy, LLC

  • Physical Therapist
  • North Easton, MA
National Provider Identifier
1902965205
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13125 Issued in MA
Legal business name
FUNCTIONAL FITNESS AND PHYSICAL THERAPY, LLC
Practice address
50 Oliver St
Suite W-2B
North Easton, MA 02356-1446
Phone
(508) 682-0186
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Sarah Coe Anestam, P.T.
Title
Owner
Phone
(508) 682-0186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 13125 MA Primary

Addresses

Primary practice location

50 Oliver St
Suite W-2B
North Easton, MA 02356-1446

Mailing address

50 Oliver St
Suite W-2B
North Easton, MA 02356-1446
Phone (508) 682-0186

National Provider Directory

National Provider Directory

Locations

13 Elm Ct
North Easton, MA 02356
Phone (508) 682-0186

50 Oliver St
Ste W2B
North Easton, MA 02356
Phone (508) 682-0186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1902965205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OLIVER ST",
            "address_2": "SUITE W-2B",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561446",
            "telephone_number": "508-682-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 OLIVER ST",
            "address_2": "SUITE W-2B",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561446",
            "telephone_number": "508-682-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FITNESS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "ANESTAM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "COE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-682-0186",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.