Individual provider Active NPI

Trevor M Watts, DPT, OCS, CSCS

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1699863597
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CA - PT 29983 Issued in CA
Practice address
1360 E Spruce Ave Ste 102
Fresno, CA 93720-3378
Phone
(559) 440-9200
Fax
(559) 440-9222
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA - PT 29983 CA Primary

Addresses

Primary practice location

1360 E Spruce Ave Ste 102
Fresno, CA 93720-3378

Mailing address

1360 E Spruce Ave Ste 102
Fresno, CA 93720-3378
Phone (559) 440-9200

Other practice location 1

392 Sierra St
Kingsburg, CA 93631-1706
Phone (559) 713-6806

Other identifiers 1

IdentifierTypeStateIssuer
0PT299830OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060511000266 CA Practitioner - Physical Therapist in Private Practice 1557372091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plan Physical Therapy, Inc.Group PAC ID 2668625690, 4 clinicians

Practice addresses (Care Compare)

1360 E Spruce Ave
Suite 102
Fresno, CA 93720-3378
Phone (559) 440-9200

2251 Country Club LN
Selma, CA 93662-3859
Phone (559) 819-8696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA - PT 29983CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plan Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2014 Accepting new patients

Locations

1360 E Spruce Ave
Ste 102
Fresno, CA 93720
Phone (559) 440-9200

8525 N Cedar Ave
Ste 109
Fresno, CA 93720
Phone (559) 433-1120

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1699863597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E SPRUCE AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203378",
            "telephone_number": "559-440-9200",
            "fax_number": "559-440-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E SPRUCE AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203378",
            "telephone_number": "559-440-9200",
            "fax_number": "559-440-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "392 Sierra St",
            "address_purpose": "LOCATION",
            "city": "Kingsburg",
            "state": "CA",
            "postal_code": "936311706",
            "country_code": "US",
            "telephone_number": "559-713-6806",
            "fax_number": "559-713-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TREVOR",
        "middle_name": "M",
        "credential": "DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "CA - PT 29983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PT299830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.