Healthcare Provider Details

I. General information

NPI: 1912590027
Provider Name (Legal Business Name): FOCAL POINT THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 W LEROY ST
TAMPA FL
33607-1129
US

IV. Provider business mailing address

3421 W LEROY ST
TAMPA FL
33607-1129
US

V. Phone/Fax

Practice location:
  • Phone: 813-846-5089
  • Fax: 813-441-8121
Mailing address:
  • Phone: 813-846-5089
  • Fax: 813-441-8121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAN NGUYEN CASSELLA
Title or Position: MANAGER
Credential: OTR/L
Phone: 813-846-5089