Active NPI
Kentucky Fitness Physio, LLC
Doing business as Fitness Physio
- Physical Therapist
- Louisville, KY
National Provider Identifier
1649181637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KENTUCKY FITNESS PHYSIO, LLC
- Doing business as
- Fitness Physio
- Practice address
- 4620 Taylorsville Rd
Louisville, KY 40220-3530 - Phone
- (855) 749-7461
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4620 Taylorsville Rd
Louisville, KY 40220-3530
Mailing address
1714 Canterbury Rd
Raleigh, NC 27608-1110
Other names 1
- Fitness Physio
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1649181637",
"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": "4620 TAYLORSVILLE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203530",
"telephone_number": "855-749-7461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENTUCKY FITNESS PHYSIO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"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"
},
"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"
}
]
}Other providers in Louisville, KY
- Kentucky Eye Surgery Associates PSC
- Kentucky Family Chiropractic East Louisville PSC
- Kentucky Family Clinic Inc
- Kentucky Fertility Associates, PLLC
- Kentucky Fertility Laboratory, LLC
- Kentucky Foot & Ankle Solutions PLLC
- Kentucky Geriatrics PSC
- Kentucky Health Partners, LLC
- Kentucky Independent Support Services
- Kentucky Injury & Rehab LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.