FUNCTIONAL ATHLETICS LLC
NPI 1376326017
Clinical Exercise Physiologist in San Diego, CA

Active since August 16, 2023
409 CAMINO DEL RIO S STE 203, SAN DIEGO, CA 92108(619) 294-3259 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Functional Athletics Llc NPPES

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

FUNCTIONAL ATHLETICS LLC (NPI 1376326017), doing business as Egoscue Of San Diego, is a healthcare organization registered as a clinical exercise physiologist in San Diego, California and active in the NPI registry since August 2023. The organization lists Tim George, Owner/clinic Director, as its authorized official.

NPPES Registry Identity

NPI1376326017
Entity TypeOrganization
Primary Taxonomy224Y00000X
Legal Business NameFUNCTIONAL ATHLETICS LLC
Location Address409 CAMINO DEL RIO S STE 203San Diego, CA 92108-3506
Mailing Address409 Camino Del Rio S Ste 203San Diego, CA 92108-3506 · (619) 294-3259
Organization SubpartNo
Authorized OfficialTim GeorgeOwner/clinic Director · (619) 294-3259
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
NPI 1376326017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
409 CAMINO DEL RIO S STE 203, San Diego, CA 92108

Other Names 1

Doing Business AsEgoscue Of San Diego

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Athletics LLC's NPI number?

The NPI number for Functional Athletics LLC is 1376326017. It was assigned to this organization in the NPPES registry on August 16, 2023. The provider is doing business as Egoscue of San Diego.

Where is Functional Athletics LLC located?

Functional Athletics LLC is located at 409 Camino Del Rio S Ste 203, San Diego, CA 92108. The listed phone number is (619) 294-3259.

What is Functional Athletics LLC's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Functional Athletics LLC was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.