NPIMap

Organization Active NPI

Focus Physical Therapy, Inc.

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1104961978
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4042 Issued in OR
Legal business name
FOCUS PHYSICAL THERAPY, INC.
Practice address
1001 SW Emkay Dr Ste 100
Bend, OR 97702-3663
Phone
(541) 385-3344
Fax
(541) 312-5256
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Amy C Royce
Title
Owner
Phone
(541) 385-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4042 OR Primary

Addresses

Primary practice location

1001 SW Emkay Dr Ste 100
Bend, OR 97702-3663

Mailing address

1001 SW Emkay Dr Ste 100
Bend, OR 97702-3663
Phone (541) 385-3344

Other practice location 1

1239 NE Medical Center Dr
Suite 200
Bend, OR 97701-7359
Phone (541) 385-3344

Other identifiers 2

IdentifierTypeStateIssuer
500609118MedicaidOR
DG0916OtherORMEDICARE RAILROAD CARRIER PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050926000164 OR Part B Supplier - Clinic/Group Practice 9739113143 Receives reassigned benefits from 9 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

550 NW Hill St
Bend, OR 97703
Phone (541) 385-3344

901 NW Carlon Ave
Ste 3
Bend, OR 97703
Phone (541) 385-3344

1239 NE Medical Center Dr
Ste 200
Bend, OR 97701
Phone (541) 385-3344

550 SW Industrial Way
Ste 130
Bend, OR 97702
Phone (541) 213-5829

1001 SW Emkay Dr
Ste 100
Bend, OR 97702
Phone (541) 385-3344

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1104961978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW EMKAY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023663",
            "telephone_number": "541-385-3344",
            "fax_number": "541-312-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW EMKAY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023663",
            "telephone_number": "541-385-3344",
            "fax_number": "541-312-5256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1239 NE Medical Center Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017359",
            "country_code": "US",
            "telephone_number": "541-385-3344",
            "fax_number": "541-312-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOCUS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "ROYCE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-385-3344"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500609118",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER PTAN",
            "identifier": "DG0916",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.