OrganizationFunctional Capacity InterventionsClinic/CenterAmbulatory Health Care FacilitiesPractice Address198 W Main St, El Cajon, CA 92020-3399(619) 444-6113PECOS EnrollmentBased on the most recent information from CMS, provider Functional Capacity Interventions does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1639574189Provider TypeOrganizationFull NameFunctional Capacity InterventionsSubpartNoEnumeration Date10/27/2014Last Updated2/27/2025Contact InformationPractice LocationPractice Address198 W Main St, El Cajon, CA 92020-3399Phone(619) 444-6113Fax(619) 719-5525Mailing LocationMailing Address1201 Avocado Ave Pmb 189, El Cajon, CA 92020-7704Phone(619) 444-6113Fax(619) 719-5525Authorized OfficialNameIannazzo, Adam Scott (Principal Member)Phone(619) 363-2324Provider TaxonomiesCodeDescriptionLicenseCode261QP2000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense28858California