Individual provider Active NPI

Marc Douek

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1396922274
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10117 Issued in NC
Practice address
4801 Hargrove Rd Ste 100
Raleigh, NC 27616-1949
Phone
(919) 791-6260
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10117 NC Primary

Addresses

Primary practice location

4801 Hargrove Rd Ste 100
Raleigh, NC 27616-1949

Mailing address

1714 Canterbury Rd
Raleigh, NC 27608-1110
Phone (919) 791-6260

Other practice location 1

8300 Falls of Neuse Rd
Ste 104
Raleigh, NC 27615-3450
Phone (919) 846-9668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080226000515 NC Practitioner - Physical Therapist in Private Practice 8426132762 Reassigns benefits to 1 organization
I20260609003118 KS Practitioner - Physical Therapist in Private Practice 8426132762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Physical Therapy LLCGroup PAC ID 8729401625, 75 clinicians

Practice addresses (Care Compare)

4801 Hargrove Rd
Suite 100
Raleigh, NC 27616-1949
Phone (919) 791-6260

9529 Chapel Hill Rd
Morrisville, NC 27560-7359
Phone (919) 791-6678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10117NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Fitness Physio, LLC Physical Therapist Current Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jun 30, 2020 Accepting new patients
Mall Physical Therapist Current Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Best Physical Therapy, LLC Past Accepting new patients
Best Physical Therapy, LLC Past Accepting new patients
Best Physical Therapy, LLC Past Accepting new patients
Best Physical Therapy, LLC Past Accepting new patients
Best Physical Therapy, LLC Past Accepting new patients
Best Physical Therapy, LLC Physical Therapist Past Accepting new patients
Advanced Therapy Physical Therapist PastSince Mar 1, 2008 Accepting new patients

Locations

1240 S Hover St
Ste 200
Longmont, CO 80501
Phone (970) 541-2851

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

4801 Hargrove Rd
Ste 100
Raleigh, NC 27616
Phone (919) 327-7697

12951 Barker Cypress Rd
Cypress, TX 77429

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1396922274",
    "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",
            "telephone_number": "919-791-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HARGROVE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161949",
            "telephone_number": "919-791-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 FALLS OF NEUSE RD",
            "address_2": "STE 104",
            "address_purpose": "LOCATION",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "country_code": "US",
            "telephone_number": "919-846-9668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUEK",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.