Active NPI
Missouri Fitness Physio, LLC
- Physical Therapist
- Lee's Summit, MO
National Provider Identifier
1003722448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MISSOURI FITNESS PHYSIO, LLC
- Practice address
- 900 NE Deerbrook St
Lees Summit, MO 64086-8411 - Phone
- (855) 749-7561
- NPI assigned
- Aug 24, 2026
- 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
- Marc Douek
- Title
- Owner
- Phone
- (919) 327-7697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
900 NE Deerbrook St
Lees Summit, MO 64086-8411
Mailing address
1714 Canterbury Rd
Raleigh, NC 27608-1110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1003722448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 CANTERBURY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276081110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NE DEERBROOK ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640868411",
"telephone_number": "855-749-7561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOURI FITNESS PHYSIO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "DOUEK",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-327-7697"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lee's Summit, MO
- Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #05719)
- Missouri Dental Professionals, Richard Straus, D.M.D., P.C. (Dental Care on Hollywood)
- Missouri Dental Professionals, Richard Straus, D.M.D., P.C. (Lee's Summit Family & Cosmetic Dental Care)
- Missouri Dental Professionals, Richard Straus, DMD, PC (Raintree Family Dental Care)
- Missouri Dental Professionals, Richard Straus, DMD, PC (Summit Fair Dental Care)
- Missouri Fitness Physio, LLC
- Missouri Hearing Associate LLC (Amplifon Hearing Aid Centers)
- Katie Lynn Mitchell
- Trevor Mitchell, DC
- Michelle Renee Mix, AGACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.