CUSTOM FITNESS LLC
NPI 1902217896
Clinic/Center - Physical Therapy in Asan, GU
About Custom Fitness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUSTOM FITNESS LLC (NPI 1902217896), doing business as Crossfit Gof Metgot, is a healthcare organization registered as a physical therapy in Asan, Guam and active in the NPI registry since May 2014. The organization lists Samantha Sablan, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Custom Fitness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Custom Fitness LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Hagatna, GU 96910
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Custom Fitness LLC's NPI number?
The NPI number for Custom Fitness LLC is 1902217896. It was assigned to this organization in the NPPES registry on May 13, 2014. The provider is doing business as CrossFit Gof Metgot.
Where is Custom Fitness LLC located?
Custom Fitness LLC is located at 202 W Marine Corps Dr, Asan, GU 96910. The listed phone number is (671) 646-2379.
What is Custom Fitness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Custom Fitness LLC enrolled in Medicare?
Yes. Custom Fitness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Custom Fitness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Custom Fitness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Custom Fitness LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.