Active NPI
FWTW Inc.
- Physical Therapy Clinic/Center
- Morro Bay, CA
National Provider Identifier
1285872812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT12081
- Legal business name
- FWTW INC.
- Practice address
- 500 Quintana Rd
Morro Bay, CA 93442-1938 - Phone
- (805) 772-7358
- Fax
- (805) 772-0409
- NPI assigned
- Feb 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ross Joseph Dover, PT
- Title
- Ceo
- Phone
- (805) 772-7358
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT12081 | CA | Primary |
Addresses
Primary practice location
500 Quintana Rd
Morro Bay, CA 93442-1938
Mailing address
500 Quintana Rd
Morro Bay, CA 93442-1938
Phone (805) 772-7358
Other names 1
- TherapyWorks-FitnessWorks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090609000010 | CA | Part B Supplier - Clinic/Group Practice | 2264582576 |
Receives reassigned benefits from 10 practitioners Practice locations: Morro Bay, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
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": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1285872812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 QUINTANA RD",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934421938",
"telephone_number": "805-772-7358",
"fax_number": "805-772-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 QUINTANA RD",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934421938",
"telephone_number": "805-772-7358",
"fax_number": "805-772-0409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FWTW INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "DOVER",
"authorized_official_first_name": "ROSS",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-772-7358",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "PT12081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TherapyWorks-FitnessWorks",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Morro Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.