Provider Demographics
NPI:1760231583
Name:FUNCTION BEYOND REHAB LLC
Entity type:Organization
Organization Name:FUNCTION BEYOND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLANGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:409-554-1901
Mailing Address - Street 1:8419 HEARTH DR APT 7
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2731
Mailing Address - Country:US
Mailing Address - Phone:409-554-1901
Mailing Address - Fax:
Practice Address - Street 1:8419 HEARTH DR APT 7
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2731
Practice Address - Country:US
Practice Address - Phone:409-554-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty