FITNESS CLINIC WELLNESS
NPI 1912352022
Physical Therapist in Jackson, MS

Active since April 26, 2016
2219 GREENWAY DR, JACKSON, MS 39204(601) 983-7494 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2017, Oct 25, 2016 (2 updates tracked since 2016).

About Fitness Clinic Wellness NPPES

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

FITNESS CLINIC WELLNESS (NPI 1912352022) is a healthcare organization registered as a physical therapist in Jackson, Mississippi and active in the NPI registry since April 2016. The organization lists Barbara Broadwater, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912352022
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFITNESS CLINIC WELLNESS
Location Address2219 GREENWAY DRJackson, MS 39204-3202
Mailing Address2219 Greenway DrJackson, MS 39204-3202 · (601) 983-7494
Organization SubpartNo
Authorized OfficialBarbara BroadwaterExecutive Director · (601) 983-7494
Enumeration DateApril 26, 2016
Last NPPES UpdateFebruary 9, 20172 updates tracked since enumeration
✔ NPI 1912352022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 871546 (MS)
2219 GREENWAY DR, Jackson, MS 39204

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

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)

Fitness Clinic Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Fitness Clinic Wellness, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner13
Clinical Social Worker8
Physical Therapist in Private Practice8
Occupational Therapist in Private Practice3
Internal Medicine1

Nearest to this location (20)

See all 33
Clinical Social Worker
NPI 1700664620
2219 GREENWAY DR
Jackson, MS 39204
(601) 983-7494
✔ PECOSSame address
Nurse Practitioner
NPI 1477277036
2219 GREENWAY DR
Jackson, MS 39204
(601) 983-7494
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437645017
2219 GREENWAY DR
Jackson, MS 39204
(601) 983-7494
✔ PECOSSame address
Nurse Practitioner
NPI 1174751093
1860 CHADWICK DR STE 104
Jackson, MS 39204
(601) 566-1644
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1801288410
1850 CHADWICK DR
Jackson, MS 39204
(706) 863-9595
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1437640463
3450 HIGHWAY 80 W
Jackson, MS 39209
(601) 321-2400
✔ PECOS✔ Accepts Medicare1.9 mi
Clinical Social Worker
NPI 1710326194
3450 HIGHWAY 80 W
Jackson, MS 39209
(601) 321-2400
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1124456850
590 SPRINGRIDGE RD
Clinton, MS 39056
(601) 488-8101
✔ PECOS✔ Accepts Medicare3.8 mi
Clinical Social Worker
NPI 1154639045
251 ROSE ST
Jackson, MS 39203
(601) 988-5112
✔ PECOS✔ Accepts Medicare4.2 mi
Clinical Social Worker
NPI 1922107366
1500 E WOODROW WILSON AVE
Jackson, MS 39216
(601) 364-1289
✔ PECOS✔ Accepts Medicare6.6 mi
Physical Therapist in Private Practice
NPI 1336530914
665 S PEAR ORCHARD RD STE 114
Ridgeland, MS 39157
(769) 235-6788
✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1992709570
133 EXECUTIVE DR STE A
Madison, MS 39110
(601) 665-2047
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1194877068
106 OFFICE PARK DR STE D
Brandon, MS 39042
(601) 613-5250
✔ PECOS✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1679863245
105 LEXINGTON DR H
Madison, MS 39110
(601) 910-7300
✔ Accepts Medicare18 mi
Occupational Therapist in Private Practice
NPI 1053550806
247 CALDWELL DR
Hazlehurst, MS 39083
(601) 894-3646
✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1457633034
2200 HIGHWAY 61 N
Vicksburg, MS 39183
(601) 883-3340
✔ PECOS✔ Accepts Medicare33 mi
Physical Therapist in Private Practice
NPI 1003116062
110 N JERRY CLOWER BLVD STE M
Yazoo City, MS 39194
(662) 763-3750
38 mi
Nurse Practitioner
NPI 1659721116
2045 HIGHWAY 61 N
Port Gibson, MS 39150
(601) 437-3050
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1700461456
162 TUBMAN CIR
Natchez, MS 39120
(601) 597-2614
✔ PECOS87 mi
Physical Therapist in Private Practice
NPI 1962059410
6600 POPLAR SPRINGS DR
Meridian, MS 39305
(601) 482-5561
93 mi
See all 33 clinicians

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 Fitness Clinic Wellness's NPI number?

The NPI number for Fitness Clinic Wellness is 1912352022. It was assigned to this organization in the NPPES registry on April 26, 2016.

Where is Fitness Clinic Wellness located?

Fitness Clinic Wellness is located at 2219 Greenway Dr, Jackson, MS 39204. The listed phone number is (601) 983-7494.

What is Fitness Clinic Wellness's specialty?

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

Is Fitness Clinic Wellness enrolled in Medicare?

Yes. Fitness Clinic Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fitness Clinic Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 5 Medicare specialties reassign their Medicare billing to Fitness Clinic Wellness. 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. The largest specialties are Nurse Practitioner (13), Clinical Social Worker (8) and Physical Therapist in Private Practice (8). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fitness Clinic Wellness accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Fitness Clinic Wellness 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 Fitness Clinic Wellness was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.