Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Functional Physical Therapy, Inc

Organization Physical Therapist · NPI 1790738409

Functional Physical Therapy, Inc provides Physical Therapist services 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 Not confirmed with CMS for 15 years — call before visiting
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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