Organization · Type 2 NPI

Function Physical Therapy South LLC

Physical Medicine & Rehabilitation Physician · Village, OK

NPI number 1043005572 Active

Practice location

3012 W Hefner Rd
Village, OK 73120-5107

Fax (405) 285-8948

Mailing address

2412 NW 178th St
Edmond, OK 73012-4565

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician Primary 208100000XNone listed

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

About NPI 1043005572

Function Physical Therapy South LLC's National Provider Identifier is 1043005572, issued on Apr 14, 2025. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Village, OK. The record was last updated on Jan 12, 2026.