FUEL PHYSICAL THERAPY & SPORTS PERFORMANCE
NPI 1063980373
Clinic/Center - Physical Therapy in Grand Rapids, MI

Active since November 05, 2018
130 MARKET AVE SW # 106, GRAND RAPIDS, MI 49503(810) 347-5219(616) 259-4226 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2026, Apr 28, 2026, Nov 5, 2018 (3 updates tracked since 2018).

About Fuel Physical Therapy & Sports Performance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUEL PHYSICAL THERAPY & SPORTS PERFORMANCE (NPI 1063980373), doing business as Fuel Health & Wellness, is a healthcare organization registered as a physical therapy in Grand Rapids, Michigan and active in the NPI registry since November 2018. The organization lists Eric Scott Broadworth, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1063980373
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameFUEL PHYSICAL THERAPY & SPORTS PERFORMANCE
Location Address130 MARKET AVE SW # 106Grand Rapids, MI 49503-4029
Mailing Address1139 Houseman Ave NeGrand Rapids, MI 49503-1229 · (810) 347-5219
Fax(616) 259-4226
Organization SubpartNo
Authorized OfficialEric Scott BroadworthOwner/physical Therapist · (810) 347-5219
Enumeration DateNovember 5, 2018
Last NPPES UpdateMay 14, 20263 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1063980373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
130 MARKET AVE SW # 106, Grand Rapids, MI 49503

Other Names 1

Doing Business AsFuel Health & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fuel Physical Therapy & Sports Performance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fuel Physical Therapy & Sports Performance, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1598164667
130 MARKET AVE SW # 106
Grand Rapids, MI 49503
(616) 757-0932
✔ Accepts MedicareSame address

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 Fuel Physical Therapy & Sports Performance's NPI number?

The NPI number for Fuel Physical Therapy & Sports Performance is 1063980373. It was assigned to this organization in the NPPES registry on November 5, 2018. The provider is doing business as Fuel Health & Wellness.

Where is Fuel Physical Therapy & Sports Performance located?

Fuel Physical Therapy & Sports Performance is located at 130 Market Ave SW # 106, Grand Rapids, MI 49503. The listed phone number is (810) 347-5219.

What is Fuel Physical Therapy & Sports Performance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Fuel Physical Therapy & Sports Performance enrolled in Medicare?

Yes. Fuel Physical Therapy & Sports Performance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fuel Physical Therapy & Sports Performance?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Fuel Physical Therapy & Sports Performance. 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.

What insurance does Fuel Physical Therapy & Sports Performance accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fuel Physical Therapy & Sports Performance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fuel Physical Therapy & Sports Performance was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.