Organization Active NPI

Focus Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Mystic, CT
National Provider Identifier
1376096313
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOCUS PHYSICAL THERAPY, LLC
Practice address
14 Clara Dr Ste 3
Mystic, CT 06355-1973
Phone
(860) 245-0851
Fax
(860) 245-0860
NPI assigned
Jul 26, 2016
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FOCUS PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Janice Chamberlain, PT, ATC, CKTP
Title
Owner
Phone
(860) 245-0851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

14 Clara Dr Ste 3
Mystic, CT 06355-1973

Mailing address

14 Clara Dr
Ste. 3
Mystic, CT 06355-1973
Phone (860) 245-0851

National Provider Directory

National Provider Directory
Part of
Focus Physical Therapyllc

Locations

14 Clara Dr
Ste 3
Mystic, CT 06355
Phone (860) 245-0851

55 Beach St
Ste 9
Westerly, RI 02891
Phone (401) 348-8112

85 Beach St
Bldg D
Westerly, RI 02891
Phone (401) 348-8112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1376096313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CLARA DR",
            "address_2": "STE. 3",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551973",
            "telephone_number": "860-245-0851",
            "fax_number": "860-245-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CLARA DR STE 3",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551973",
            "telephone_number": "860-245-0851",
            "fax_number": "860-245-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOCUS PHYSICAL THERAPY",
        "enumeration_date": "2016-07-26",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-245-0851",
        "authorized_official_credential": "PT, ATC, CKTP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.