Organization Active NPI

Focus Rehabilitation

  • Physical Therapist
  • Red Bud, IL
National Provider Identifier
1871249417
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOCUS REHABILITATION
Practice address
115 S Main St
Red Bud, IL 62278-1104
Phone
(618) 443-7574
NPI assigned
Feb 22, 2022
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Natalie Liefer, DPTNPI 1376198978
Title
Physical Therapist
Phone
(618) 282-1155

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

115 S Main St
Red Bud, IL 62278-1104

Mailing address

115 S Main St
Red Bud, IL 62278-1104
Phone (618) 282-1155

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL RedBud

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230921002111 IL Part B Supplier - Clinic/Group Practice 1951755156 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bud, IL

National Provider Directory

National Provider Directory

Locations

115 S Main St
Red Bud, IL 62278
Phone (618) 282-1155

Practitioners & affiliated clinicians

Practitioners 1

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1871249417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781104",
            "telephone_number": "618-282-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781104",
            "telephone_number": "618-443-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "LIEFER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "618-282-1155",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "RedBud",
            "affiliation": "N",
            "address_1": "115 S Main St",
            "city": "Red Bud",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622781104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Red Bud, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.