Function Fit Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTION FIT REHAB

Practice address

5348 Carroll Canyon Rd
Suite 101
San Diego, CA 92121-1733

Phone

(858) 202-1546

Fax

(858) 202-1548

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Danny Song, PTA, DC

Title

Rehab Director

Phone

(858) 202-1546

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1972844140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5348 CARROLL CANYON RD",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211733",
            "telephone_number": "858-202-1546",
            "fax_number": "858-202-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 CARROLL CANYON RD",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211733",
            "telephone_number": "858-202-1546",
            "fax_number": "858-202-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION FIT REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "REHAB DIRECTOR",
        "authorized_official_telephone_number": "858-202-1546",
        "authorized_official_credential": "PTA, DC"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "CA",
            "license": "AT8848",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jayne Fulton
• Jacob Fulton, SFIDC
• Juana Fulton, LCSW
• Priscilla Fultz
• Fun Lac
• Function Fit Rehabilitation
• Function Foundation, Inc.
• Function in Movement Physical Therapy
• Functional Athletics LLC
• Functional Physical Therapy Solutions Inc

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.