Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Function for Life PT Inc

Organization Preferred Provider Organization · NPI 1811310170

Function for Life PT Inc is a Preferred Provider Organization in Encinitas, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

227 N El Camino Real Ste 103
Encinitas, CA 92024
Phone: (760) 230-2316
Fax: (760) 230-2317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 40858 (CA)

Record details

NPI number1811310170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Bloom — Cfo, Owner · (760) 230-2316
Other names Longevity Physical Therapy
NPI enumeratedJanuary 22, 2014
Last updated in NPPESJanuary 22, 2014
Mailing address227 N El Camino Real Suite 103, Encinitas, CA 92024

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