Provider Demographics
NPI:1568437895
Name:FUNCTION FIRST PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:FUNCTION FIRST PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:508-778-4317
Mailing Address - Street 1:PO BOX 346
Mailing Address - Street 2:
Mailing Address - City:WEST BARNSTABLE
Mailing Address - State:MA
Mailing Address - Zip Code:02668-0346
Mailing Address - Country:US
Mailing Address - Phone:508-778-4317
Mailing Address - Fax:508-778-4376
Practice Address - Street 1:540 MAIN ST
Practice Address - Street 2:SUITE 12
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5100
Practice Address - Country:US
Practice Address - Phone:508-778-4317
Practice Address - Fax:508-778-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11657204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5591961OtherHEALTH CARE VALUE MNGMNT
MAY61410OtherBLUE CROSS OF MA.
MAAA26068OtherHARVARD PILGRIM HEALTH CA
MA9179043OtherPRIVATE HEALTH CARE SYSTE
MA9179043OtherPRIVATE HEALTH CARE SYSTE
MA5591961OtherHEALTH CARE VALUE MNGMNT