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Fitness Clinic

Physical Therapist in Jackson, MS · enumerated 2012 · authorized official Barbara Broadwater, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497027775

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Registry record

Entity type Organization (Type 2)
Legal business name Fitness Clinic
Practice address 2219 Greenway Dr, Jackson, MS, 39204
Phone (601) 983-7494
Fax (601) 371-3993
Enumeration date Feb 2, 2012
Last updated in NPPES Feb 2, 2012

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Barbara Broadwater
Title Executive Director
Phone (601) 983-7494

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Fitness Clinic?
Fitness Clinic is registered in NPPES as a Physical Therapist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-02.