FUNCTIONAL THERAPEUTICS (NPI# 1235488354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235488354 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL THERAPEUTICS |
| Practice Address |
616 Vida Santa St Alamo TX 78516 |
| Practice Telephone | 9565334390 |
| Practice Fax Number | 9565870245 |
| Mailing Telephone | 9565334390 |
| Mailing Fax Number | 9565870245 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Authorized Official Name | JUVENTINO RUIZ JR. (OWNER) |
| Authorized Official Telephone | 9565334390 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 111838 | TX | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | FUNCTIONAL THERAPEUTICS | Pob 2088, Brattleboro, VT 05303 |
| Street Address |
616 VIDA SANTA ST |
| City | ALAMO |
| State | TX |
| Zip Code | 78516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819214 | Crystal Leanne Jones | Nurse Practitioner | 1226 West Austin Avenue, Alamo, TX 78516 | 2020-07-23 |
| 1336621168 | Deunta Jenkins | Physical Therapy Assistant | 1214 S Alamo Rd, Alamo, TX 78516 | 2018-08-29 |
| 1124505375 | Nancy Brendalee Garza | Specialist/Technologist | 118 S. 9th Pl., Alamo, TX 78516 | 2018-07-20 |
| 1528545712 | Teresita M. Lemus | Occupational Therapy Assistant | 118 S. 9th Place, Alamo, TX 78516 | 2018-07-20 |
| 1336632850 | Jose Ricardo Yanez Jr. | Counselor | 900 E Bowie Ave, Alamo, TX 78516 | 2018-06-09 |
| 1154842870 | Albert Caballero IIi | Student in an Organized Health Care Education/Training Program | 219 Caramel Dr, Alamo, TX 78516 | 2017-07-03 |
| 1003277377 | Julieta Quirino | Clinic/Center | 1040 West Ellis Ave, Alamo, TX 78516 | 2016-03-15 |
| 1700127545 | Richard Darko | Pharmacist | 1211 Hwy 83 E, Alamo, TX 78516 | 2013-03-04 |
| 1831444801 | Victory Rehab LLC | Occupational Therapist | 1103 Acacia Ave, Alamo, TX 78516 | 2012-07-17 |
| 1740578251 | Allegiant Rehab | Clinic/Center | 753 Main Street Street, Ste C, Alamo, TX 78516 | 2011-07-18 |
| Find all providers in zip 78516 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396285482 | Paulina Barlev | Speech-Language Pathologist | 241 Livorna Heights Rd, Alamo, CA 94507-1324 | 2017-03-08 |
| 1669770632 | Anna Marie Moya | Speech-Language Pathologist | 801 E Fannin Ave, 4007 Box, Alamo, TX 78516-2757 | 2011-03-01 |
| 1285937441 | Yolanda Garcia | Speech-Language Pathologist | 523 Robert Ln, Alamo, TX 78516-4045 | 2010-12-09 |
| 1285947796 | Cecilia Mary Kohl | Speech-Language Pathologist | 2630 Royal Oaks Drive, Alamo, CA 94507 | 2010-07-26 |
| 1235460205 | Head To Toes Rehab, Inc | Speech-Language Pathologist | 931 S Alamo Rd, Alamo, TX 78516-9312 | 2010-01-14 |
| 1760658975 | Sarah Rebeccah Moncivais | Speech-Language Pathologist | 1019 W Hwy 83, P, Alamo, TX 78516-2530 | 2008-05-07 |
| 1306014279 | Nancy Gallegos | Speech-Language Pathologist | 1087 Evaristo Gonzalez W, Alamo, TX 78516-1532 | 2008-02-13 |
| 1205289311 | Matthew Marco Benavides | Speech-Language Pathologist | 1019 W Hwy 83, Suite P, Alamo, TX 78516-2530 | 2016-07-14 |
| 1982968509 | Graciela G Garcia | Speech-Language Pathologist | 427 E Duranta Ave, Suite 104b, Alamo, TX 78516-3407 | 2012-06-28 |
| 1902129349 | Soleil Rehabilitation Services | Speech-Language Pathologist | 1019 W Hwy 83, Suite P, Alamo, TX 78516-2530 | 2010-03-11 |
| Find all providers in ALAMO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.