Active NPI
Dynamic Sport and Spine
Doing business as Forever Fit
- Physical Therapy Clinic/Center
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2025
- 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
- Erin Kristen Rosso, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71789715 | Medicaid | CO |
Other names 1
- Forever Fit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211102000024 | GA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4385810332 | Practice locations: Saint Marys, GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Bentonville, AR
- NPI 1932141314
-
- Physical Therapist
- Steamboat Springs, CO
- NPI 1457321663
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.