Functional Fitness L L C

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FUNCTIONAL FITNESS L L C

Practice address

1185 S Adams Rd
Birmingham, MI 48009-7101

Phone

(248) 988-8098

Fax

(248) 988-8583

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Kelly Hale

Title

Owner

Phone

(248) 988-8098

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jacqueline Ebben, P.T.

  • Physical Therapist
  • Birmingham, MI
  • NPI 1417115940
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1972771673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 S ADAMS RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 S ADAMS RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097101",
            "telephone_number": "248-988-8098",
            "fax_number": "248-988-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FITNESS L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-988-8098"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Jane Frias, MT-BC
• Barbara McGough Friedman, MSW
• Howard Philip Friedman, M.D.
• Sonya E Friedman, PH.D.
• Amyna Ftouni
• Fundamental Health, PLLC
• Peter R Furicchia, MD
• Katherine Elinor Furtaw
• G. Colombini Counseling, PLLC
• Donald J Garfield, D.P.M.

• Occupational Therapist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.