FUNCTIONAL WELLNESS LLC
NPI 1457290710
Clinic/Center in Keene, NH

Active since March 25, 2026
310 MARLBORO ST STE 267, KEENE, NH 03431(518) 496-0219 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Functional Wellness Llc NPPES

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

FUNCTIONAL WELLNESS LLC (NPI 1457290710) is a healthcare organization registered as a clinic/center in Keene, New Hampshire and active in the NPI registry since March 2026. The organization lists Michael Peter Gray, Member, as its authorized official.

NPPES Registry Identity

NPI1457290710
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFUNCTIONAL WELLNESS LLC
Location Address310 MARLBORO ST STE 267Keene, NH 03431-4118
Mailing Address310 Marlboro St Ste 267Keene, NH 03431-4118 · (603) 606-0487
Organization SubpartNo
Authorized OfficialMichael Peter GrayMember · (603) 606-0487
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1457290710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
310 MARLBORO ST STE 267, Keene, NH 03431

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 Wellness LLC's NPI number?

The NPI number for Functional Wellness LLC is 1457290710. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Functional Wellness LLC located?

Functional Wellness LLC is located at 310 Marlboro St Ste 267, Keene, NH 03431. The listed phone number is (518) 496-0219.

What is Functional Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Functional Wellness LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.