Functionally Limitless, LLC
NPI 1689166571ActiveOrganization· Physical Therapist· Merritt Island, FL
Physical Therapist in Merritt Island, Florida, registered in NPPES in June 2018, part of Functionally Limitless, LLC. The authorized official on file is Travis D. Boersma, DPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689166571 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Functionally Limitless, LLC |
| NPI issued | Jun 5, 2018 |
| Last updated in NPPES | Feb 2, 2024 |
| Certified by provider | Feb 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT26481 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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