Provider Demographics
NPI:1891335972
Name:FOCUS PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:FOCUS PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:CRAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:904-388-1300
Mailing Address - Street 1:869 STOCKTON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-3590
Mailing Address - Country:US
Mailing Address - Phone:904-388-1300
Mailing Address - Fax:904-388-1302
Practice Address - Street 1:8301 CYPRESS PLAZA DR STE 116
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-4426
Practice Address - Country:US
Practice Address - Phone:904-388-1312
Practice Address - Fax:904-388-1302
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOCUS PHYSICAL THERAPY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9487OtherPHYSICAL THERAPIST LICENSE