FEARLESS PHYSICAL THERAPY PLLC – Physical Therapy Clinic/Center, NPI 1306484100

FEARLESS PHYSICAL THERAPY PLLC is a healthcare provider. based in Hampton, Virginia. specializing in Physical Therapy Clinic/Center. The NPI Number for FEARLESS PHYSICAL THERAPY PLLC is 1306484100

Main info

Organization
Name
FEARLESS PHYSICAL THERAPY PLLC
NPI
1306484100
Phone
(910) 280-1427
Address
9 MADISON CHASE
Authorized Official
DR. MARQUIS N JORDAN PHYSICAL THERAPIST DPT
Enumeration Date
12 December 2019
Last Update Date
12 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for FEARLESS PHYSICAL THERAPY PLLC

  • 9 MADISON CHASE

    HAMPTON, VA 236666115

    Phone: (910) 280-1427

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (285 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200622001525OClinic/Group PracticeVA2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23666)

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Reviews

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Frequently asked questions

Can I verify FEARLESS PHYSICAL THERAPY PLLC with an NPI only?
You can start verification with NPI 1306484100 for FEARLESS PHYSICAL THERAPY PLLC, then check state licensing separately.
Is FEARLESS PHYSICAL THERAPY PLLC still practicing?
FEARLESS PHYSICAL THERAPY PLLC is currently listed as active in the public NPI registry.
What is FEARLESS PHYSICAL THERAPY PLLC's primary classification?
Physical Therapy Clinic/Center is the headline specialty for FEARLESS PHYSICAL THERAPY PLLC here. Clinical services aligned with this taxonomy classification.
What address line appears for FEARLESS PHYSICAL THERAPY PLLC?
FEARLESS PHYSICAL THERAPY PLLC's geographic hint is Hampton, Virginia in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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