NPIMap

Organization Active NPI

GTMS Fitness Corporation

  • Physical Therapy Clinic/Center
  • Murrieta, CA
National Provider Identifier
1275587172
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GTMS FITNESS CORPORATION
Practice address
39815 Alta Murrieta Dr.
Suite C-1
Murrieta, CA 92563
Phone
(951) 304-7673
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Mr. Mark A Olives, PTNPI 1932154531
Title
Ceo
Phone
(951) 304-7673

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

39815 Alta Murrieta Dr.
Suite C-1
Murrieta, CA 92563

Mailing address

39815 Alta Murrieta Dr.
Suite C-1
Murrieta, CA 92563
Phone (951) 304-7673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060719000317 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395758239 Receives reassigned benefits from 15 practitioners
Practice locations: Murrieta, CA; Temecula, CA

National Provider Directory

National Provider Directory
Tax ID family
Fast Track Fitness and Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39815 Alta Murrieta Dr
Murrieta, CA 92563
Phone (951) 304-7673

31701 Temecula Pkwy
Ste D
Temecula, CA 92592

31749 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-2363

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1275587172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39815 ALTA MURRIETA DR.",
            "address_2": "SUITE C-1",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-304-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39815 ALTA MURRIETA DR.",
            "address_2": "SUITE C-1",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-304-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GTMS FITNESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "OLIVES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-304-7673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.