Fuel Physical Therapy & Sports Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FUEL PHYSICAL THERAPY & SPORTS PERFORMANCE

Practice address

130 Market Ave SW # 106
Grand Rapids, MI 49503-4029

Phone

(810) 347-5219

Fax

(616) 259-4226

NPI assigned

Nov 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Scott Broadworth, DPTNPI 1598164667

Title

Owner/Physical Therapist

Phone

(810) 347-5219

Specialties & licenses 2

Addresses

Other names 1

• Fuel Health & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Broadworth

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1598164667
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1063980373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 HOUSEMAN AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031229",
            "telephone_number": "810-347-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARKET AVE SW # 106",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034029",
            "telephone_number": "810-347-5219",
            "fax_number": "616-259-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUEL PHYSICAL THERAPY & SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "BROADWORTH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "810-347-5219",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuel Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony N Fryling, DLLP
• Gregory Fryling, CPO
• Brooke Fryman
• FS Grand Rapids South, LLC
• MD Farhan Fuad
• Melanie J Fuentes, LMSW
• Brian Ken Fujii, LPC, MAC, NCC
• Karen Fujii, M.S.W.
• Mary Deboer Fuler
• Keri Ann Fulkerson

• Physical Therapy Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.