Provider Demographics
NPI:1992035562
Name:FUNCTIONAL PERFORMANCE ANALYSTS, L.P.
Entity Type:Organization
Organization Name:FUNCTIONAL PERFORMANCE ANALYSTS, L.P.
Other - Org Name:OCCUPATIONAL REHAB MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:COBY
Authorized Official - Last Name:MARROW
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT
Authorized Official - Phone:903-920-5805
Mailing Address - Street 1:211 CLUBVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HIDEAWAY
Mailing Address - State:TX
Mailing Address - Zip Code:75771-5064
Mailing Address - Country:US
Mailing Address - Phone:903-920-5805
Mailing Address - Fax:903-882-7421
Practice Address - Street 1:906 E FRONT ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8328
Practice Address - Country:US
Practice Address - Phone:903-920-5805
Practice Address - Fax:903-882-7421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1124584261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy