NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fitness Clinic Wellness

Physical Therapist in Jackson, MS · enumerated 2016 · authorized official Barbara Broadwater, Executive Director.

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

National Provider Identifier

1912352022

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Fitness Clinic Wellness
Practice address 2219 Greenway Dr, Jackson, MS, 39204
Phone (601) 983-7494
Enumeration date Apr 26, 2016
Last updated in NPPES Feb 9, 2017

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 871546 (MS) Secondary

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.

Read the full guide → Validate an NPI →

Frequently asked questions

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.
What type of organization is Fitness Clinic Wellness?
Fitness Clinic Wellness is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-09.