Fitness Clinic
NPI 1497027775ActiveOrganization· Physical Therapist· Jackson, MS
Physical Therapist in Jackson, Mississippi, registered in NPPES in February 2012. The authorized official on file is Barbara Marie Broadwater, Executive Director.
Overview
| NPI | 1497027775 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2012 |
| Last updated in NPPES | Feb 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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