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

FUNCTIONAL DIMENSIONS LLC

Deactivated Organization

FUNCTIONAL DIMENSIONS LLC is a Physical Therapy Assistant organization located in TRAVERSE CITY, Michigan. NPI 1750661542 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TRAVERSE CITY, MI

This NPI has been deactivated. The record was deactivated on December 3, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1750661542
Provider Type
Organization
NPI Issued
Aug 24, 2011 (9.2767123287671 yrs)
Last Updated
Jan 12, 2021
Deactivated
Dec 3, 2020
License
5501014611 (MI)

Practice Information

Address
3899 W. FRONT ST. UNIT #3
TRAVERSE CITY, MI, 49684
Browse MI providers · Browse ZIP 49684
Phone
2316492015
Fax
2314218447
Primary Specialty
Physical Therapy Assistant
225100000X
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.