| Organization Name: | FOCUS PHYSICAL THERAPY |
| NPI Number: | 1003962036 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL JOHN DEVITT (PRESIDENT) |
| Mailing Address: | 1150 W State St Ste 301 Boise |
| State: | ID US |
| Postal Code: | 837025327 |
| Phone Number: | 2083671528 |
| Fax Number: | 2083671529 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT-859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |