Active NPIOrganization

Spectrum Functional Medicine LLC

Clinic/Center, Physical Therapy in Dorchester, Massachusetts

NPI Number1922675370
Practice location
28 Edison Grn Apt 2, Dorchester, MA 02125-4783
Fax
—
Last updated
June 4, 2021

Spectrum Functional Medicine LLC is a healthcare organization based in Dorchester, MA. Spectrum Functional Medicine LLC practices in Dorchester, MA. The NPI Number for Spectrum Functional Medicine LLC is 1922675370. The current practice location address for Spectrum Functional Medicine LLC is 28 Edison Grn Apt 2, Dorchester, MA 02125-4783 and can be reached out via phone at 802-318-1744.

Provider Profile Details

NPI Number
1922675370
Provider Name
Spectrum Functional Medicine LLC
Provider Entity Type
Organization
Address
28 Edison Grn Apt 2, Dorchester, MA 02125-4783
Phone Number
802-318-1744
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Ryan Lunny, PT, DPT · Owner · 802-318-1744
Provider Enumeration Date
June 4, 2021
Last Update Date
June 4, 2021
Certification Date
June 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Edison Grn Apt 2
Dorchester, MA 02125-4783
Zip
02125-4783
Phone Number
802-318-1744
Dorchester, MA 02125Get directions →

Provider Business Mailing Address Details

Address
28 Edison Grn Apt 2
Dorchester, MA 02125-4783
City
Dorchester
State
MA
Zip
02125-4783
Phone Number
802-318-1744

License Information

Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Spectrum Functional Medicine LLC?

The NPI number of Spectrum Functional Medicine LLC is 1922675370. It was assigned on June 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Spectrum Functional Medicine LLC?

Spectrum Functional Medicine LLC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X).

Where does Spectrum Functional Medicine LLC practice?

The practice location is 28 Edison Grn Apt 2, Dorchester, MA 02125-4783. The office can be reached at 802-318-1744 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922675370 directly on the NPPES registry website.

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