Focus Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT-859 Issued in ID

Legal business name

FOCUS PHYSICAL THERAPY

Practice address

1150 W State St
Ste 301
Boise, ID 83702-5327

Phone

(208) 367-1528

Fax

(208) 367-1529

NPI assigned

Jan 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael John Devitt, PT, DPT, OCSNPI 1851455794

Title

President

Phone

(208) 367-1528

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Devitt Physical Therapy Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Devitt, PT

  • Physical Therapist
  • Boise, ID
  • NPI 1851455794
  Medicare reassignment Care Compare group NPD Authorized official
• Monica M Gerhart, PT

  • Physical Therapist
  • Boise, ID
  • NPI 1326140468
  Medicare reassignment Care Compare group NPD
• Jody Alison Thatcher Bullard, P.T.

  • Physical Therapist
  • Boise, ID
  • NPI 1881759645
  NPD (past)
• Stacey L Scanlan, PT

  • Physical Therapist
  • Boise, ID
  • NPI 1689756603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1003962036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W STATE ST",
            "address_2": "STE 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025327",
            "telephone_number": "208-367-1528",
            "fax_number": "208-367-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W STATE ST",
            "address_2": "STE 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025327",
            "telephone_number": "208-367-1528",
            "fax_number": "208-367-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "DEVITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-367-1528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT-859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051871",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Devitt Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tyson Flower, FNP
• Charles T Floyd, MD
• Christie Dudash Flynn, PA
• Daniel P Flynn, MD
• Timothy Ryan Flynn, PHARMD
• Megan Elizabeth Foeller, MD
• John Charles Fogg II
• Jarom B Fogle, PHARMD
• Jennifer Fogle
• Diania Marie Folkes

• Physical Therapy Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.