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

Functional Physical Therapy LLC

Organization Physical Therapist · NPI 1962018440

Functional Physical Therapy LLC is a Physical Therapist in Philadelphia, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
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

1900 John F Kennedy Blvd
Philadelphia, PA 19103-1440
Phone: (267) 918-7122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1962018440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Vizak — Owner · (267) 918-7122
NPI enumeratedSeptember 19, 2020
Last updated in NPPESSeptember 19, 2020
Certification dateSeptember 19, 2020
Mailing address38 Narothyn Rd, Sellersville, PA 18960-2957

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