Provider Demographics
NPI:1497248579
Name:FOCUS PHYSICAL THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:FOCUS PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS, COMT
Authorized Official - Phone:202-431-0679
Mailing Address - Street 1:803 W BROAD ST STE 330
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3133
Mailing Address - Country:US
Mailing Address - Phone:202-431-0679
Mailing Address - Fax:
Practice Address - Street 1:803 W BROAD ST STE 330
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3133
Practice Address - Country:US
Practice Address - Phone:202-431-0679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy