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FIXER UPPER FITNESS LLC
NPI 1477160430
Dietitian, Registered in Salisbury, MD

Active since September 24, 2020
724 E MAIN ST, SALISBURY, MD 21804(443) 397-6647 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2021, Sep 24, 2020 (2 updates tracked since 2020).

About Fixer Upper Fitness Llc NPPES

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

FIXER UPPER FITNESS LLC (NPI 1477160430) is a healthcare organization registered as a dietitian, registered in Salisbury, Maryland and active in the NPI registry since September 2020. The organization lists Gwyneth Bradshaw, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1477160430
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameFIXER UPPER FITNESS LLC
Location Address724 E MAIN STSalisbury, MD 21804-5037
Mailing Address724 E Main StSalisbury, MD 21804-5037 · (443) 397-6647
Phone(443) 397-6647
Organization SubpartNo
Authorized OfficialGwyneth BradshawRegistered Dietitian · (443) 397-6647
Enumeration DateSeptember 24, 2020
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
✔ NPI 1477160430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
724 E MAIN ST, Salisbury, MD 21804
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fixer Upper Fitness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fixer Upper Fitness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Gwyneth Bradshaw, RD
Registered Dietitian or Nutrition Professional
NPI 1093331928
724 E MAIN ST
Salisbury, MD 21804
(443) 397-6647
✔ Accepts MedicareSame address
Michelle Dix
Registered Dietitian or Nutrition Professional
NPI 1447031539
724 E MAIN ST
Salisbury, MD 21804
(443) 944-9544
✔ Accepts MedicareSame address
Kathleen Dorsch, RD
Registered Dietitian or Nutrition Professional
NPI 1972187433
9714 HEALTHWAY DR
Berlin, MD 21811
(410) 641-3340
✔ Accepts Medicare21 mi

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 Fixer Upper Fitness LLC's NPI number?

The NPI number for Fixer Upper Fitness LLC is 1477160430. It was assigned to this organization in the NPPES registry on September 24, 2020.

Where is Fixer Upper Fitness LLC located?

Fixer Upper Fitness LLC is located at 724 E Main St, Salisbury, MD 21804. The listed phone number is (443) 397-6647.

What is Fixer Upper Fitness LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Fixer Upper Fitness LLC enrolled in Medicare?

Yes. Fixer Upper Fitness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fixer Upper Fitness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Fixer Upper 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fixer Upper Fitness LLC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.