NPIMap

Organization Active NPI

Focus Physical Therapy Inc

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1790764116
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9487 Issued in FL
Legal business name
FOCUS PHYSICAL THERAPY INC
Practice address
869 Stockton St
Suite 3
Jacksonville, FL 32204-3557
Phone
(904) 388-1300
Fax
(904) 388-1302
NPI assigned
Jan 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mr. Scott Edward Crawley, P.T.NPI 1194735175
Title
President
Phone
(904) 388-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT9487 FL Primary

Addresses

Primary practice location

869 Stockton St
Suite 3
Jacksonville, FL 32204-3557

Mailing address

869 Stockton St
Suite 3
Jacksonville, FL 32204-3557
Phone (904) 388-1300

Other identifiers 1

IdentifierTypeStateIssuer
Y915QOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050917000150 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406889682 Receives reassigned benefits from 8 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory
Tax ID family
Focus Physical Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

869 Stockton St
Ste 300
Jacksonville, FL 32204
Phone (904) 388-1300

869 Stockton St
Ste 200
Jacksonville, FL 32204
Phone (904) 388-1300

869 Stockton St
#3
Jacksonville, FL 32204
Phone (904) 388-1300

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1790764116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 STOCKTON ST",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043557",
            "telephone_number": "904-388-1300",
            "fax_number": "904-388-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 STOCKTON ST",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043557",
            "telephone_number": "904-388-1300",
            "fax_number": "904-388-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CRAWLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-388-1300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT9487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y915Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.