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Diane Bracken Funderburk, DPT

NPI 1689779183ActiveIndividual· Physical Therapist· Greenwood, SC

Physical Therapist (DPT) in Greenwood, South Carolina, licensed in SC, with an NPI issued in September 2006.

Overview

NPI1689779183
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorYes
NPI issuedSep 13, 2006
Last updated in NPPESJul 17, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X913SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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