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FUNCTIONAL DIMENSIONS LLC NPI 1780076232


NPI Information

NPI: 1780076232
Provider Name: FUNCTIONAL DIMENSIONS LLC

Other Name: SUPERIOR PHYSICAL THERAPY

Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
3899 W. FRONT ST UNIT 3
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 649-2015
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FUNCTIONAL DIMENSIONS LLC is an orthopedic physical therapist in Traverse City, MI. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. FUNCTIONAL DIMENSIONS LLC NPI is 1780076232. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Superior Physical Therapy.

The provider's business location address is:

3899 W. FRONT ST UNIT 3
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 649-2015
Fax: (231) 421-8447

The provider's authorized official is Andrew Charles Gorecki .
The authorized official title is Owner and has the following contact phone number (231) 649-2015.

The enumeration date for this NPI number is 2/20/2015 and was last updated on 12/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225100000XPhysical Therapist5501014611MICHIGANNo
32251X0800XPhysical TherapistOrthopedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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