Fitness Clinic Wellness
NPI 1912352022 · Physical Therapist · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fitness Clinic Wellness is a Physical Therapist organization in Jackson, MS (NPI 1912352022).
Provider details
- NPI number
- 1912352022
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Barbara Broadwater, Executive Director(601) 983-7494
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2016-04-26
- Last updated
- 2017-02-09
Frequently asked questions
- What is Fitness Clinic Wellness's NPI number?
- Fitness Clinic Wellness's National Provider Identifier (NPI) is 1912352022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fitness Clinic Wellness?
- Fitness Clinic Wellness is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Fitness Clinic Wellness located?
- Fitness Clinic Wellness's practice location on file with NPPES is 2219 Greenway Dr, Jackson, MS 39204-3202.
- What is Fitness Clinic Wellness's phone number?
- The practice phone number listed in the NPPES registry for Fitness Clinic Wellness is (601) 983-7494.
- Does Fitness Clinic Wellness accept Medicare?
- Fitness Clinic Wellness is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fitness Clinic Wellness?
- The authorized official listed on Fitness Clinic Wellness's NPPES record is Barbara Broadwater, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fitness Clinic Wellness's NPI active?
- Yes — Fitness Clinic Wellness's NPI (1912352022) is active in the NPPES registry as of the last update on 2017-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.