Healthcare Provider Details

I. General information

NPI: 1548186612
Provider Name (Legal Business Name): FUNCTIONAL TRAINING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 OAKLAND PARK AVE
COLUMBUS OH
43224-3259
US

IV. Provider business mailing address

909 OAKLAND PARK AVE
COLUMBUS OH
43224-3259
US

V. Phone/Fax

Practice location:
  • Phone: 614-262-9669
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH ROOP
Title or Position: PRESIDENT/EXECUTIVE DIRECTOR
Credential:
Phone: 614-262-9669