Andrew Funsch, DPT
Physical Therapist in Charlevoix, MI. Individual provider (NPI-1).
NPI number1982105169
StatusActive
Last updated in NPPESFeb 23, 2018
Details
- NPI
- 1982105169
- Entity type
- Individual (NPI-1)
- Name
- Andrew Funsch
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2018
- Last updated
- Feb 23, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501018205 | MI | Yes |
Practice location
14700 Lake Shore DrCharlevoix, MI 49720-1931
Phone 231-547-8630
Mailing address
14700 Lake Shore DrCharlevoix, MI 49720-1931
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Physical Therapist providers in Charlevoix · All 281 providers in Charlevoix
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