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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FUNCTIONAL FORM PHYSICAL THERAPY, LLC

Active Organization

FUNCTIONAL FORM PHYSICAL THERAPY, LLC is a Physical Therapy Assistant organization located in BETHESDA, Maryland. NPI 1215891973 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BETHESDA, MD

Registration Details

NPI Number
1215891973
Provider Type
Organization
NPI Issued
Dec 16, 2025 (0.66749001652607 yrs)
Last Updated
Dec 16, 2025

Practice Information

Address
5400 WESTBARD AVE STE 290
BETHESDA, MD, 208161520
Browse MD providers · Browse ZIP 20816
Phone
2022856292
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Organizations in BETHESDA, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.