OrganizationActive
Functional Form Physical Therapy, LLC
NPI 1215891973 · Physical Therapist · Bethesda, MD
Provider details
- NPI number
- 1215891973
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Antoine Touma, Owner(202) 285-6292
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
5400 Westbard Ave Ste 290
Bethesda, MD 20816-1520
Phone: (202) 285-6292
Street-level locationGet directions
Mailing address
16205 Whitehaven Rd
Silver Spring, MD 20906-1129
Additional practice locations (1)
- 16205 Whitehaven RdSilver Spring, MD 20906-1129Phone: (202) 285-6292
Registry dates
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.