Organization Active NPI

Focus Physical Therapy, Incorporated

  • Physical Therapist
  • Lompoc, CA
National Provider Identifier
1891014510
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOCUS PHYSICAL THERAPY, INCORPORATED
Practice address
177 Vulcan Dr
Lompoc, CA 93436-1406
Phone
(805) 733-7500
Fax
(805) 733-7510
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Ms. Danielle WiswallNPI 1215911235
Title
Physical Therapist
Phone
(805) 733-7500

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 Primary

Addresses

Primary practice location

177 Vulcan Dr
Lompoc, CA 93436-1406

Mailing address

177 Vulcan Dr
Lompoc, CA 93436-1406
Phone (805) 733-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000693 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820280126 Receives reassigned benefits from 3 practitioners
Practice locations: Lompoc, CA

National Provider Directory

National Provider Directory

Locations

177 Vulcan Dr
Lompoc, CA 93436
Phone (805) 733-7500

Practitioners & affiliated clinicians

Practitioners 5

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": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1891014510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 VULCAN DR",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361406",
            "telephone_number": "805-733-7500",
            "fax_number": "805-733-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 VULCAN DR",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361406",
            "telephone_number": "805-733-7500",
            "fax_number": "805-733-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS PHYSICAL THERAPY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "WISWALL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-733-7500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.