IDA MARIELKE FUNKE PT
NPI 1851872428
Physical Therapist - Geriatrics in Medford, OR

Q: What is Ida Funke's NPI number?

The NPI number for Ida Funke is 1851872428. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Q: What is Ida Funke's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Ida Funke was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 22, 2018

1111 CRATER LAKE AVE, MEDFORD, OR 97504(541) 732-5028 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ida Marielke Funke Pt NPPES

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

IDA MARIELKE FUNKE PT (NPI 1851872428) is an individual geriatrics provider in Medford, Oregon, licensed in Oregon (02851) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1851872428

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameIDA MARIELKE FUNKECredential: PT

Location Address1111 CRATER LAKE AVEMedford, OR 97504-6241

Mailing Address1111 Crater Lake AveMedford, OR 97504-6241 · (541) 732-5028

Phone(541) 732-5028

Sole ProprietorNo

Enumeration DateAugust 22, 2018

✔ NPI 1851872428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in OR · 02851

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

1111 CRATER LAKE AVE, Medford, OR 97504

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE HOSPITALISTS & INTENSIVISTS

Internal Medicine (Critical Care Medicine)