Provider Demographics
NPI:1235230681
Name:FOCUS PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:FOCUS PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LAFERNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT/RMT
Authorized Official - Phone:214-618-6480
Mailing Address - Street 1:5575 WARREN PKWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4062
Mailing Address - Country:US
Mailing Address - Phone:214-618-6480
Mailing Address - Fax:214-618-6481
Practice Address - Street 1:5575 WARREN PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4062
Practice Address - Country:US
Practice Address - Phone:214-618-6480
Practice Address - Fax:214-618-6481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0045JWOtherBLUE CROSS/BLUE SHIELD
TX0045JWOtherBLUE CROSS/BLUE SHIELD