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FUNCTION FOR LIFE PT INC NPI 1811310170


NPI Information

NPI: 1811310170
Provider Name: FUNCTION FOR LIFE PT INC

Doing Business As: LONGEVITY PHYSICAL THERAPY

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
227 N EL CAMINO REAL SUITE 103
ENCINITAS, CA
ZIP 92024
Phone: (760) 230-2316
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FUNCTION FOR LIFE PT INC is a preferred provider organization in Encinitas, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. FUNCTION FOR LIFE PT INC NPI is 1811310170. The provider is registered as an organization entity type.
The provider Is Doing Business As Longevity Physical Therapy.

The provider's business location address is:

227 N EL CAMINO REAL SUITE 103
ENCINITAS, CA
ZIP 92024
Phone: (760) 230-2316
Fax: (760) 230-2317

The provider's authorized official is Brett Bloom .
The authorized official title is Cfo, Owner and has the following contact phone number (760) 230-2316.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 1/22/2014.


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
1305R00000XPreferred Provider Organization40858CALIFORNIAYes

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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