Functional Physical Therapy, Inc
Functional Physical Therapy, Inc is a healthcare organization registered as Physical Therapist in Bloomingdale, IL, holding Type 2 (organization) NPI 1790738409 since 2006. The authorized official on file is Tim Fedorski, President/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790738409 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Functional Physical Therapy, Inc |
| Practice address | 369 W ARMY TRAIL RD, UNIT 14, Bloomingdale, IL, 60108 |
| Phone | 6308935534 |
| Fax | 6308935527 |
| Enumeration date | 2006-05-17 |
| Last updated in NPPES | 2011-07-13 |
Authorized official
| Name | Tim Fedorski |
|---|---|
| Title | President/Owner |
| Phone | 6308935534 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | 070-011136 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232938 | Other | IL | BLUE CROSS BLUE SHIELD |
| DH0131 | Other | IL | RAILROAD MEDICARE |
| P00478856 | Other | IL | RAILROAD MEDICARE |
| 352586282001 | Medicaid | IL | — |
Copy-ready billing details
Provider: Functional Physical Therapy, Inc NPI: 1790738409 Taxonomy: 225100000X (Physical Therapist) Address: 369 W ARMY TRAIL RD, UNIT 14, Bloomingdale, IL, 60108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558685164 | Catherine Floro | Individual | Physical Therapist | Bloomingdale, IL |
Verify this record
Cross-check NPI 1790738409 against the authoritative CMS record: view Functional Physical Therapy, Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Functional Physical Therapy, Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-07-13.