Functional Innovative Therapy, LLC
NPI 1093727802 · Physical Therapy Clinic/Center · Grand Rapids, MI
Functional Innovative Therapy, LLC is a Physical Therapy Clinic/Center organization in Grand Rapids, MI (NPI 1093727802).
Provider details
- NPI number
- 1093727802
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trey Kubizna, Member(616) 365-9394
- License
- 5501012424 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fit Therapy
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2008-04-22
Frequently asked questions
- What is Functional Innovative Therapy, LLC's NPI number?
- Functional Innovative Therapy, LLC's National Provider Identifier (NPI) is 1093727802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Functional Innovative Therapy, LLC?
- Functional Innovative Therapy, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Functional Innovative Therapy, LLC located?
- Functional Innovative Therapy, LLC's practice location on file with NPPES is 3035 Hoag Ave Ne, Grand Rapids, MI 49525-9632.
- What is Functional Innovative Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Functional Innovative Therapy, LLC is (616) 365-9394.
- Who is the authorized official for Functional Innovative Therapy, LLC?
- The authorized official listed on Functional Innovative Therapy, LLC's NPPES record is Trey Kubizna, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Functional Innovative Therapy, LLC's NPI active?
- Yes — Functional Innovative Therapy, LLC's NPI (1093727802) is active in the NPPES registry as of the last update on 2008-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.