Kansas Fitness Physio, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KANSAS FITNESS PHYSIO, LLC

Practice address

6100 E Central Ave
Wichita, KS 67208-4244

Phone

(316) 681-3010

NPI assigned

Mar 17, 2026

Last updated

Mar 17, 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, MPTNPI 1396922274

Title

Managing Partner

Phone

(919) 327-7697

Specialties & licenses 1

Addresses

Other names 1

• Fitness Physio Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Douek

  • Physical Therapist
  • Raleigh, NC
  • NPI 1396922274
  NPD Authorized official

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1447108402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 E CENTRAL AVE STE 3",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084237"
        },
        {
            "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": "316-681-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS FITNESS PHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "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",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitness Physio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

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