Colorado Fitness Physio, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COLORADO FITNESS PHYSIO, PLLC

Doing business as

Fitness Physio

Practice address

505 Thunderbird Drive
Boulder, CO 80303

Phone

(855) 749-7461

NPI assigned

Sep 18, 2026

Last updated

Sep 18, 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, PT, MPT

Title

Managing Partner

Phone

(919) 327-7697

Specialties & licenses 1

Addresses

Other names 1

• Fitness Physio Doing business as

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1487566196",
    "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": "505 THUNDERBIRD DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "855-749-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FITNESS PHYSIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-16",
        "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": "PT, 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": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.