OrganizationActive
Funtional Medicine Group Inc
NPI 1578752606 · Neuromusculoskeletal Medicine & OMM Physician · Plymouth, MA
Provider details
- NPI number
- 1578752606
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Addison, President(781) 641-1901
- License
- 215277 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
88 Sandwich St
Plymouth, MA 02360-3334
Phone: (781) 641-1901
Street-level locationGet directions
Mailing address
88 Sandwich St
Plymouth, MA 02360-3334
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2007-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.