Organization Active NPI

Dynamic Sport and Spine

Doing business as Forever Fit

  • Physical Therapy Clinic/Center
  • Bentonville, AR
National Provider Identifier
1952380099
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DYNAMIC SPORT AND SPINE
Doing business as
Forever Fit
Practice address
2701 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3991
Phone
(479) 235-2545
Fax
(479) 235-2546
NPI assigned
Jan 16, 2006
Last updated
Dec 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Erin Kristen Rosso, DPTNPI 1932141314
Title
Owner
Phone
(303) 949-6453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8295 CO
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2701 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3991

Mailing address

2701 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3991
Phone (479) 235-2545

Other practice location 1

345 S Lincoln Ave
Suite 205
Steamboat Springs, CO 80487-8907
Phone (970) 870-3484

Other practice location 2

2806 Saint Marys Rd
Saint Marys, GA 31558-4559
Phone (303) 949-6453

Other identifiers 1

IdentifierTypeStateIssuer
71789715MedicaidCO

Other names 1

  • Forever Fit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211102000024 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385810332 Practice locations: Saint Marys, GA

National Provider Directory

National Provider Directory

Locations

2701 SE Otis Corley Dr
Ste 11
Bentonville, AR 72712
Phone (479) 235-2545

2806 Saint Marys Rd
Saint Marys, GA 31558
Phone (303) 949-6453

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1952380099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SE OTIS CORLEY DR STE 11",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123991",
            "telephone_number": "479-235-2545",
            "fax_number": "479-235-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SE OTIS CORLEY DR STE 11",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123991",
            "telephone_number": "479-235-2545",
            "fax_number": "479-235-2546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 S Lincoln Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878907",
            "country_code": "US",
            "telephone_number": "970-870-3484",
            "fax_number": "970-879-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2806 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315584559",
            "country_code": "US",
            "telephone_number": "303-949-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC SPORT AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "ROSSO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-949-6453",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "8295",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71789715",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Fit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.