Active NPI
Fortitude & Freedom, PLC
Doing business as Fortitude & Freedom Human Performance, PLC
- Physical Therapy Clinic/Center
- Waukee, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- FORTITUDE & FREEDOM, PLC
- Doing business as
- Fortitude & Freedom Human Performance, PLC
Fortitude & Freedom Performance Therapy, PLC
Fortitude & Freedom Physical Therapy, PLC - Practice address
- 1040 SE Frontier Ave Unit 120
Waukee, IA 50263-8969 - Phone
- (515) 216-0847
- Fax
- (515) 724-7270
- NPI assigned
- Oct 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Pawol, PT, DPT, OCS
- Title
- Owner/Physical Therapist
- Phone
- (515) 216-0847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1040 SE Frontier Ave Unit 120
Waukee, IA 50263-8969
Mailing address
1040 SE Frontier Ave Unit 120
Waukee, IA 50263-8969
Phone (515) 216-0847
Other names 3
- Fortitude & Freedom Human Performance, PLC
- Fortitude & Freedom Performance Therapy, PLC
- Fortitude & Freedom Physical Therapy, PLC
National Provider Directory
National Provider DirectoryLocations
1040 SE Frontier Ave
Unit 120
Waukee, IA 50263
Phone (515) 216-0847
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Waukee, IA
- NPI 1558716027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1831851781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SE FRONTIER AVE UNIT 120",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638969",
"telephone_number": "515-216-0847",
"fax_number": "515-724-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 SE FRONTIER AVE UNIT 120",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638969",
"telephone_number": "515-216-0847",
"fax_number": "515-724-7270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTITUDE & FREEDOM, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-07",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "PAWOL",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "515-216-0847",
"authorized_official_credential": "PT, DPT, OCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fortitude & Freedom Human Performance, PLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fortitude & Freedom Performance Therapy, PLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fortitude & Freedom Physical Therapy, PLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.