FUNCTIONAL THERAPY NPI 1083759021

NPI Information

NPI: 1083759021
Provider Name: FUNCTIONAL THERAPY
Classification: Physical Therapist - 2251P0200X
Specialization: Pediatrics
Entity Type: Organization
Address: 6613 BRAYTON DR
SUITE A
ANCHORAGE, AK
ZIP 99507
Phone: (907) 334-9002

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NPI Details

FUNCTIONAL THERAPY is a pediatrics physical therapist in Anchorage, AK. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. FUNCTIONAL THERAPY NPI is 1083759021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6613 BRAYTON DR
SUITE A
ANCHORAGE, AK
ZIP 99507-127
Phone: (907) 334-9002
Fax: (907) 334-9320

The provider's authorized official is Jerry Pasol .
The authorized official title is Otr and has the following contact phone number (907) 334-9002.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 9/11/2025.

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
1	225XP0200X	Occupational Therapist	Pediatrics		ALASKA	No
2	2251P0200X	Physical Therapist	Pediatrics		ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	OT32411	MEDICAID	ALASKA
2	OT45641	MEDICAID	ALASKA
3	OT1318	MEDICAID	ALASKA
4	PT2352	MEDICAID	ALASKA

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: 11/21/2025

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