Organization Active NPI

Blue Water Enterprises, Inc.

  • Physical Therapy Clinic/Center
  • Torrance, CA
National Provider Identifier
1801196571
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BLUE WATER ENTERPRISES, INC.
Practice address
18039 Crenshaw Blvd
Suite 203
Torrance, CA 90504-5126
Phone
(310) 329-9442
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mr. Joseph Matthew Nespoli, MPT
Title
Owner
Phone
(310) 329-9442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

18039 Crenshaw Blvd
Suite 203
Torrance, CA 90504-5126

Mailing address

18039 Crenshaw Blvd
Suite 203
Torrance, CA 90504-5126
Phone (310) 329-9442

National Provider Directory

National Provider Directory

Locations

18039 Crenshaw Blvd
Ste 203
Torrance, CA 90504
Phone (310) 329-9442

Practitioners & affiliated clinicians

Practitioners 3

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": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1801196571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18039 CRENSHAW BLVD",
            "address_2": "SUITE 203",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045126",
            "telephone_number": "310-329-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18039 CRENSHAW BLVD",
            "address_2": "SUITE 203",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045126",
            "telephone_number": "310-329-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "NESPOLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-329-9442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.