Organization Active NPI

Fortitude & Freedom, PLC

Doing business as Fortitude & Freedom Human Performance, PLC

  • Physical Therapy Clinic/Center
  • Waukee, IA
National Provider Identifier
1831851781
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Jacob Pawol, PT, DPT, OCSNPI 1558716027
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)CodeLicenseStatePrimary
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 Doing business as
  • Fortitude & Freedom Performance Therapy, PLC Doing business as
  • Fortitude & Freedom Physical Therapy, PLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.