FITNESS CLINIC WELLNESS
NPI 1912352022
Physical Therapist in Jackson, MS
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
Specialties & Licenses 3
- 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.
Group Practice 1
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
33Medicare 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
Nearest to this location (20)
See all 33Source: 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.