Freeform Wellness PLLC
NPI 1689185803 · Physical Medicine & Rehabilitation Physician · Fort Worth, TX
Freeform Wellness PLLC is a Physical Medicine & Rehabilitation Physician organization in Fort Worth, TX (NPI 1689185803).
Provider details
- NPI number
- 1689185803
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jesse Jacobs, Owner(817) 431-5100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-15
- Last updated
- 2017-10-15
Frequently asked questions
- What is Freeform Wellness PLLC's NPI number?
- Freeform Wellness PLLC's National Provider Identifier (NPI) is 1689185803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Freeform Wellness PLLC?
- Freeform Wellness PLLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Freeform Wellness PLLC located?
- Freeform Wellness PLLC's practice location on file with NPPES is 4525 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244-8908.
- What is Freeform Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Freeform Wellness PLLC is (817) 431-5100.
- Who is the authorized official for Freeform Wellness PLLC?
- The authorized official listed on Freeform Wellness PLLC's NPPES record is Jesse Jacobs, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Freeform Wellness PLLC's NPI active?
- Yes — Freeform Wellness PLLC's NPI (1689185803) is active in the NPPES registry as of the last update on 2017-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.