FOCUS PHYSICAL THERAPY & SPORTS MEDICINE LLC (NPI# 1780868505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780868505 |
| Entity Type | Organization |
| Organization Name | FOCUS PHYSICAL THERAPY & SPORTS MEDICINE LLC |
| Practice Address |
1138 Farmington Ave Berlin CT 06037-2301 |
| Mailing Address |
Po Box 452 Berlin CT 06037-0452 |
| Practice Telephone | 8608295511 |
| Practice Fax Number | 8608295577 |
| Mailing Telephone | 8608295511 |
| Mailing Fax Number | 8608295577 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MR. MARCUS DAVID BACON (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4132197923 |
| Authorized Official Credential | MS, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1138 FARMINGTON AVE |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255341848 | Kari Anne Callahan | Physical Therapist | 1138 Farmington Ave, Berlin, CT 06037 | 2006-08-08 |
| 1265079628 | Dallas Peery | Physical Therapist | 1138 Farmington Ave, Berlin, CT 06037 | 2019-12-04 |
| 1023663515 | David Reindl | Physical Therapist | 1138 Farmington Ave, Berlin, CT 06037-2301 | 2019-08-02 |
| 1255685723 | Michael Johnson | Physical Therapist | 1138 Farmington Ave, Berlin, CT 06037 | 2012-11-05 |
| 1821105693 | Marcus Bacon | Physical Therapist | 1138 Farmington Ave, Berlin, CT 06037 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096299 | Bloom Physical Therapy and Wellness LLC | Clinic/Center | 617 Franklin Ave, Berlin, MD 21811-1358 | 2019-07-29 |
| 1548727043 | Peak Physical Therapy & Wellness LLC | Clinic/Center | 4805 East Main Street, Berlin, OH 44610 | 2019-02-21 |
| 1922622661 | My Virtual Pt | Clinic/Center | 46 Zion Dr, Berlin, NJ 08009-1425 | 2020-05-28 |
| 1891963765 | Back Pain Solutions Inc. | Clinic/Center | 808 Diamond St, Berlin, PA 15530-1539 | 2008-02-13 |
| 1942412127 | Hammonton Orthopedic and Sports Physical Therapy | Clinic/Center | 181 W White Horse Pike, Berlin, NJ 08009-2032 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1053920439 | Oss Sports Physical Therapy | Clinic/Center | 500 Newfield Ave Ste 11, Stamford, CT 06905-3745 | 2020-07-30 |
| 1558983403 | Centrality Physical Therapy & Wellness, PC | Clinic/Center | 705 Boston Post Rd Ste 1b, Guilford, CT 06437-2733 | 2020-05-14 |
| 1639703622 | Dr Yoon Physical Therapy Inc | Clinic/Center | 609 Farmington Ave Ste Ll2, Hartford, CT 06105-3081 | 2020-02-27 |
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
| 1588214381 | Good Physio Clinic Inc | Clinic/Center | 701 Cottage Grove Rd Ste 110, Bloomfield, CT 06002-3080 | 2019-09-13 |
| 1972169241 | Align Health LLC | Clinic/Center | 133 Columbia Blvd, Waterbury, CT 06710-1706 | 2019-05-13 |
| 1396209029 | My Pain Guy LLC | Clinic/Center | 50 Quality St Unit 110615, Trumbull, CT 06611-7725 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.