Kansas Fitness Physio, PA

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KANSAS FITNESS PHYSIO, PA

Practice address

6100 E Central Ave
Wichita, KS 67208-4244

Phone

(913) 229-4429

NPI assigned

Jul 14, 2026

Last updated

Sep 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Douek, MPT

Title

Ceo

Phone

(919) 327-7697

Specialties & licenses 1

Addresses

Tax ID family

Kansas Fitness Physio PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kansas Fitness Physio, PA

  • Physical Therapist
  • Leavenworth, KS
  • NPI 1497854822
  NPD tax ID

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1013836998",
    "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": "6100 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084244",
            "telephone_number": "913-229-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS FITNESS PHYSIO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DOUEK",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-327-7697",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas Endoscopy LLC
• Kansas Endoscopy LLC
• Kansas Family Advisory Network Inc (Kansas Family Advisory Network)
• Kansas Family Dental, LLC
• Kansas Fitness Physio, LLC
• Kansas Foot Center PA
• Kansas Gastroenterology LLC
• Kansas Health Center Inc
• Kansas Healthcare Leasing Inc. (Wichita Nursing Center)
• Kansas Hearingtechnologies

• Registered Dietitian in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.