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

Organization Physical Therapist · NPI 1215891973

Functional Form Physical Therapy, LLC is a Physical Therapist in Bethesda, Maryland. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5400 Westbard Ave Ste 290
Bethesda, MD 20816-1520
Phone: (202) 285-6292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16205 Whitehaven Rd, Silver Spring, MD 20906-1129 — (202) 285-6292

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1215891973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Touma — Owner · (202) 285-6292
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address16205 Whitehaven Rd, Silver Spring, MD 20906-1129

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