OrganizationActive
Functional Physical Therapy, Inc
NPI 1790738409 · Physical Therapist · Bloomingdale, IL
Provider details
- NPI number
- 1790738409
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tim Fedorski, President/Owner(630) 893-5534
- License
- 070-011136 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
369 W Army Trail Rd
Unit 14
Bloomingdale, IL 60108-2358
Phone: (630) 893-5534
Fax: (630) 893-5527
Approximate (ZIP-level) locationGet directions
Mailing address
152 S Bloomingdale Rd
Bloomingdale, IL 60108-1481
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2011-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.