Functional Physical Therapy, Inc
LBN: Functional Physical Therapy, Inc
Functional Physical Therapy, Inc is an health care organization with primary practice located at 369 W Army Trail Rd Unit 14, Bloomingdale IL 60108-2358. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Functional Physical Therapy, Inc can be contacted via phone (630) 893-5534, or through Fedorski, Tim Francis via phone (630) 893-5534.
Contact Information
Primary practice address
369 W Army Trail Rd Unit 14
Bloomingdale IL 60108-2358
Phone: (630) 893-5534
Fax: (630) 893-5527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-011136 | Illinois |
Profile Details
| NPI number | 1790738409 |
|---|---|
| LBN Legal business name | Functional Physical Therapy, Inc |
| DBA Doing business as | |
| Authorized official | Fedorski, Tim Francis PT, ATC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 13th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790738409 | NPPES |
| Illinois | Other | 02232938 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | DH0131 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | P00478856 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 352586282001 | BLUE CROSS BLUE SHIELD |
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