Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Funtastic Gymnastic LLC

Behavior Analyst in Lombard, IL · enumerated 2009 · authorized official Mark Jackson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396078275

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Registry record

Entity type Organization (Type 2)

Legal business name Funtastic Gymnastic LLC

Other name <Unavail>

Practice address 991 Oak Creek Dr, Lombard, IL, 60148

Phone (847) 465-9556

Enumeration date Sep 10, 2009

Last updated in NPPES May 10, 2025

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Primary

106S00000X Behavior Technician Behavioral Health & Social Service Providers Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Mark Jackson

Title Ceo

Phone (224) 509-5608

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-10. Verify at npiregistry.cms.hhs.gov.

Where is Funtastic Gymnastic LLC located?

The practice location on file with NPPES is in Lombard, IL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-10.