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

Fuel Physical Therapy & Sports Performance

Organization Orthopedic Physical Therapist · NPI 1063980373

Fuel Physical Therapy & Sports Performance is an Orthopedic Physical Therapist in Grand Rapids, Michigan. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

130 Market Ave SW # 106
Grand Rapids, MI 49503-4029
Phone: (810) 347-5219
Fax: (616) 259-4226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1063980373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Broadworth — Owner/Physical Therapist · (810) 347-5219
Other names Fuel Health & Wellness
NPI enumeratedNovember 5, 2018
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229

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