CLINICAL FITNESS 101 CORP
NPI 1457058802
Physical Therapist in Lake Worth, FL

Active since February 15, 2023
3344 GONDOLIER WAY, LAKE WORTH, FL 33462(561) 247-0745 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2023, Feb 15, 2023 (2 updates tracked since 2023).

About Clinical Fitness 101 Corp NPPES

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

CLINICAL FITNESS 101 CORP (NPI 1457058802) is a healthcare organization registered as a physical therapist in Lake Worth, Florida and active in the NPI registry since February 2023. The organization lists Jose L Matta, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1457058802
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameCLINICAL FITNESS 101 CORP
Location Address3344 GONDOLIER WAYLake Worth, FL 33462-3622
Mailing Address3344 Gondolier WayLake Worth, FL 33462-3622 · (561) 247-0745
Organization SubpartNo
Authorized OfficialJose L MattaFounder/ceo · (561) 247-0745
Enumeration DateFebruary 15, 2023
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1457058802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
3344 GONDOLIER WAY, Lake Worth, FL 33462

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinical Fitness 101 Corp 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 Clinical Fitness 101 Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1699205823
3344 GONDOLIER WAY
Lake Worth, FL 33462
(985) 259-1321
✔ 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 Clinical Fitness 101 Corp's NPI number?

The NPI number for Clinical Fitness 101 Corp is 1457058802. It was assigned to this organization in the NPPES registry on February 15, 2023.

Where is Clinical Fitness 101 Corp located?

Clinical Fitness 101 Corp is located at 3344 Gondolier Way, Lake Worth, FL 33462. The listed phone number is (561) 247-0745.

What is Clinical Fitness 101 Corp's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Clinical Fitness 101 Corp enrolled in Medicare?

Yes. Clinical Fitness 101 Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinical Fitness 101 Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Clinical Fitness 101 Corp. 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 Clinical Fitness 101 Corp was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.