FUNCTIONAL FORM PHYSICAL THERAPY, LLC
NPI 1215891973
Physical Therapist in Bethesda, MD

Active since December 16, 2025
5400 WESTBARD AVE STE 290, BETHESDA, MD 20816(202) 285-6292 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Functional Form Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL FORM PHYSICAL THERAPY, LLC (NPI 1215891973) is a healthcare organization registered as a physical therapist in Bethesda, Maryland and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Silver Spring and lists Antoine Touma, Owner, as its authorized official.

NPPES Registry Identity

NPI1215891973
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFUNCTIONAL FORM PHYSICAL THERAPY, LLC
Location Address5400 WESTBARD AVE STE 290Bethesda, MD 20816-1520
Mailing Address16205 Whitehaven RdSilver Spring, MD 20906-1129 · (202) 285-6292
Organization SubpartNo
Authorized OfficialAntoine ToumaOwner · (202) 285-6292
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
NPI 1215891973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5400 WESTBARD AVE STE 290, Bethesda, MD 20816

Secondary Practice Location 1

Location 116205 Whitehaven RdSilver Spring, MD 20906-1129 · Phone (202) 285-6292

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Form Physical Therapy, LLC's NPI number?

The NPI number for Functional Form Physical Therapy, LLC is 1215891973. It was assigned to this organization in the NPPES registry on December 16, 2025.

Where is Functional Form Physical Therapy, LLC located?

Functional Form Physical Therapy, LLC is located at 5400 Westbard Ave Ste 290, Bethesda, MD 20816. The listed phone number is (202) 285-6292.

What is Functional Form Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Functional Form Physical Therapy, LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.