Sports & Wellness Physical Therapy, Inc.
NPI 1639195761 · Physical Therapist · San Luis Obispo, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports & Wellness Physical Therapy, Inc. is a Physical Therapist organization in San Luis Obispo, CA (NPI 1639195761).
Provider details
- NPI number
- 1639195761
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Douglas Johnson, Owner/Physical Therapist(805) 439-2159
- License
- PT14568 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2016-09-13
Frequently asked questions
- What is Sports & Wellness Physical Therapy, Inc.'s NPI number?
- Sports & Wellness Physical Therapy, Inc.'s National Provider Identifier (NPI) is 1639195761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports & Wellness Physical Therapy, Inc.?
- Sports & Wellness Physical Therapy, Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sports & Wellness Physical Therapy, Inc. located?
- Sports & Wellness Physical Therapy, Inc.'s practice location on file with NPPES is 3440 S Higuera St Ste 120, San Luis Obispo, CA 93401-7393.
- What is Sports & Wellness Physical Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sports & Wellness Physical Therapy, Inc. is (805) 439-2159.
- Does Sports & Wellness Physical Therapy, Inc. accept Medicare?
- Sports & Wellness Physical Therapy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sports & Wellness Physical Therapy, Inc.?
- The authorized official listed on Sports & Wellness Physical Therapy, Inc.'s NPPES record is Douglas Johnson, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports & Wellness Physical Therapy, Inc.'s NPI active?
- Yes — Sports & Wellness Physical Therapy, Inc.'s NPI (1639195761) is active in the NPPES registry as of the last update on 2016-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.