Provider Demographics
NPI:1831316041
Name:FOCUS PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:FOCUS PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-709-8770
Mailing Address - Street 1:PO BOX 80135
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-0135
Mailing Address - Country:US
Mailing Address - Phone:949-709-8770
Mailing Address - Fax:949-709-4064
Practice Address - Street 1:30085 COMERCIO
Practice Address - Street 2:STE A
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2106
Practice Address - Country:US
Practice Address - Phone:949-709-8770
Practice Address - Fax:949-709-4064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT24615225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty