| Functional Physical Therapy, Llc | |
|
1310 Island Green St, Champions Gate, FL 33896 | |
| (407) 810-3353 | |
| (407) 386-6733 |
| Full Name | Functional Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1310 Island Green St, Champions Gate, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649598491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 21146 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Physical Therapy, Llc 1310 Island Green St, Champions Gate, FL 33896 Ph: (407) 810-3353 | Functional Physical Therapy, Llc 1310 Island Green St, Champions Gate, FL 33896 Ph: (407) 810-3353 |
Kristoffer Campos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8400 Champions Gate Blvd, Champions Gate, FL 33896 Phone: 863-588-3242 | |
Patricia Gaspar Danaga, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 Champions Gate Blvd, Champions Gate, FL 33896 Phone: 863-588-3242 |