Functional Physical Therapy LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTIONAL PHYSICAL THERAPY LLC.

Practice address

1900 John F Kennedy Blvd
Philadelphia, PA 19103-1440

Phone

(267) 918-7122

NPI assigned

Sep 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Benjamin Vizak, DPT.

Title

Owner

Phone

(267) 918-7122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600473600000",
    "number": "1962018440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NAROTHYN RD",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189602957",
            "telephone_number": "267-918-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 JOHN F KENNEDY BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031440",
            "telephone_number": "267-918-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PHYSICAL THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A",
        "authorized_official_last_name": "VIZAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-918-7122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Fulton
• Rachel Fulton, MD
• Kristi Fults
• Peter Fumo, M.D.
• Antonio Funches, M.D.
• Christopher Edward Fundakowski, M.D.
• Gabriela Funez-Depagnier, MD
• Mary Fung-a-Fat, LPC
• Alexandra Mia Fung, LCSW
• France Fung, M.D.

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.