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

Functional Physical Therapy, Inc

Organization Physical Therapist · NPI 1790738409

Functional Physical Therapy, Inc is a Physical Therapist in Bloomingdale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

369 W Army Trail Rd Unit 14
Bloomingdale, IL 60108-2358
Phone: (630) 893-5534
Fax: (630) 893-5527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-011136 (IL)

Record details

NPI number1790738409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Fedorski — President/Owner · (630) 893-5534
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 13, 2011
Mailing address152 S Bloomingdale Rd, Unit 101, Bloomingdale, IL 60108-1481

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