Veronica J Funk

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61143441 Issued in WA

Practice address

915 Commonwealth Ave Rear
Boston, MA 02215-1394

Phone

(617) 358-3700

Fax

(617) 358-3710

NPI assigned

Aug 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Veronica J Mielke Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaramillo Physical Therapy ServicesGroup PAC ID 9830347020, 6 clinicians

Free Motion Physical Therapy LLCGroup PAC ID 4789011636, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Free Motion Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1437796281

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Jaramillo Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1093080004

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1972979243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052956",
            "telephone_number": "509-209-9488",
            "fax_number": "509-209-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 COMMONWEALTH AVE REAR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151394",
            "telephone_number": "617-358-3700",
            "fax_number": "617-358-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "VERONICA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61143441",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "MIELKE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Fung, FNP-C
• Karen L Fung, LICSW
• Tak-Man Kimberly Fung, OD
• Teresa Fung
• Margo Christiane Funk, M.D.
• Michael Jacek Furdyna, MD
• David Matthew Furfaro, MD
• Barbara K Furgal, PA-C
• Julia Furlong
• Tara M. Furlong, CRNA

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.