OrganizationActive
Functional Physical Therapy, LLC
NPI 1730604745 · Orthopedic Physical Therapist · Rockville, MD
Provider details
- NPI number
- 1730604745
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gabriela Van Sickle, Owner/Physical Therapist(301) 602-3117
- License
- 26474 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
103 N Adams St Ste 1-2
Rockville, MD 20850-2256
Phone: (301) 602-3117
Approximate (ZIP-level) locationGet directions
Mailing address
7509 Old Chapel Dr
Bowie, MD 20715-6011
Registry dates
- Enumerated
- 2017-08-10
- Last updated
- 2017-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.