Organization Profile
Form Functional Health LLC
Unclaimed ProfileAbout Form Functional Health LLC
Form Functional Health LLC is a healthcare organization in Ridgewood, NJ, registered under clinic / center. The organization's National Provider Identifier (NPI) is 1043999196.
Factual summary compiled by Guide.md from public records; not written by this provider.
Providers in This Building & Nearby
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
- Alyssa Kievit, PT, DPT Physical Therapist
- Diane Nathans, LCSW Clinical Social Worker
Specialty
Credentials & Licensing
Contact Information
- (973) 841-4800
- Email not available
Practice Locations
15 GODWIN AVE STE 1
Ridgewood, NJ 07450
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other clinic / centers in Ridgewood 8
Same specialty, same city.
Common questions
What is Form Functional Health LLC's specialty?
Form Functional Health LLC is a clinic / center in Ridgewood, NJ. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find Form Functional Health LLC?
Form Functional Health LLC is listed at 15 Godwin Ave Ste 1, Ridgewood, NJ 07450. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Form Functional Health LLC?
The number on file is (973) 841-4800. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Form Functional Health LLC's NPI number?
Form Functional Health LLC's National Provider Identifier is 1043999196. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Has Form Functional Health LLC confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Form Functional Health LLC. If this is you, claiming it is free.
Guide.md
Is this your practice?
Manage this listing? Log in or create an account, then click “This is my practice and I manage it” here. A verified physician whose registry address matches this location is approved instantly; everyone else is reviewed by a person.
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