Organization Active NPI

New Mexico Fitness Physio, LLC

Doing business as Fitness Physio

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1215849195
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW MEXICO FITNESS PHYSIO, LLC
Doing business as
Fitness Physio
Practice address
7120 Wyoming Blvd NE Ste 8B
Albuquerque, NM 87109-4869
Phone
(855) 749-7461
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Marc Douek
Title
Managing Partner
Phone
(919) 327-7697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

7120 Wyoming Blvd NE Ste 8B
Albuquerque, NM 87109-4869

Mailing address

1714 Canterbury Rd
Raleigh, NC 27608-1110

Other names 1

  • Fitness Physio Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1215849195",
    "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": "7120 WYOMING BLVD NE STE 8B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094869",
            "telephone_number": "855-749-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO FITNESS PHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "DOUEK",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-327-7697"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitness Physio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.