Organization
KANSAS FITNESS PHYSIO, PA
Active
Organization
KANSAS FITNESS PHYSIO, PA
Active
Other names
Mowrey Rehab Consultants, PA, Professional Rehabilitation Specialists, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MARC DOUEK PT (CEO)
(919) 327-7697
Entity
Organization
Contact information
Practice address
2916 S 4TH ST STE 200, LEAVENWORTH, KS 66048-5016
(913) 225-9340
(913) 273-8484
Mailing address
6100 E CENTRAL AVE, WICHITA, KS 67208-4244
(855) 749-7461
(913) 273-8484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01721
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014746
BCBSKS
KS
01
—
0178177
DEPARTMENT OF LABOR WASH
—
01
—
1310946
UHMIDWEST
KS
01
—
22141014
BCBSKC
KS
01
—
2265205
AETNA HMO
KS
01
—
370818800
OWCP
KS
01
—
370818800
OWCOP PROVIDER NUMBER
—
01
—
4625725
AETNA PPO
KS
01
—
6290661
CIGNA PPO
KS
Enumeration date
09/22/2006
Last updated
09/02/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up