Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Freeform Wellness PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1689185803

Freeform Wellness PLLC is a Physical Medicine & Rehabilitation Physician in Fort Worth, Texas. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4525 Heritage Trace Pkwy Ste 101
Fort Worth, TX 76244-8908
Phone: (817) 431-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1689185803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Jacobs — Owner · (817) 431-5100
NPI enumeratedOctober 15, 2017
Last updated in NPPESOctober 15, 2017
Mailing address4525 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244-8908

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