Individual provider Active NPI

Thomas Paul Guidruz, DPT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1063626489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07104 Issued in LA
Practice address
7301 Hennessy Blvd
Suite 101
Baton Rouge, LA 70808
Phone
(225) 767-5004
Fax
(225) 767-3117
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 07104 LA Primary

Addresses

Primary practice location

7301 Hennessy Blvd
Suite 101
Baton Rouge, LA 70808

Mailing address

7301 Hennessy Blvd
Suite 101
Baton Rouge, LA 70808
Phone (225) 767-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823000162 LA Practitioner - Physical Therapist in Private Practice 9032481288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Physical Therapy Limited PartnershipGroup PAC ID 0446651178, 19 clinicians

Practice addresses (Care Compare)

11320 Industriplex Blvd
Baton Rouge, LA 70809-4108
Phone (225) 295-8183

145 Aspen SQ
Suite a
Denham Springs, LA 70726-5304
Phone (225) 667-8989

3103 Monterrey Dr
Suite a
Baton Rouge, LA 70814-4024
Phone (225) 924-1088

36491 Dutchtown Gardens Ave
Geismar, LA 70734-3081
Phone (225) 744-7325

4463 Hwy 1 S D
Peak Brusly
Port Allen, LA 70767-5990
Phone (225) 749-8980

7069 Perkins Rd
Suite a
Baton Rouge, LA 70808-7201
Phone (225) 769-6161

750 Jefferson Hwy
Baton Rouge, LA 70806-6118
Phone (225) 831-1300

7936 Office Park Blvd
Suite B
Baton Rouge, LA 70809-7657
Phone (225) 201-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy Limited Partnership CurrentSince Oct 11, 2021 Accepting new patients
Peak Performance Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Advanced Rehabilitation Concepts Past Accepting new patients

Locations

11320 Industriplex Blvd
Baton Rouge, LA 70809
Phone (225) 295-8183

3103 Monterrey Dr
Ste A
Baton Rouge, LA 70814
Phone (225) 924-1088

6756 Langley Dr
Baton Rouge, LA 70809
Phone (225) 663-8232

7069 Perkins Rd
Ste A
Baton Rouge, LA 70808
Phone (225) 769-6161

750 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 831-1300

7936 Office Park Blvd
Ste B
Baton Rouge, LA 70809
Phone (225) 201-0002

145 Aspen Sq
#A
Denham Springs, LA 70726
Phone (225) 667-8989

36491 Dutchtown Gardens Ave
Geismar, LA 70734
Phone (225) 744-7325

12505 Homeport Dr
Maurepas, LA 70449
Phone (225) 663-1420

4463 Hwy 1 S
Ste D
Port Allen, LA 70767
Phone (225) 749-8980

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063626489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-767-5004",
            "fax_number": "225-767-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-767-5004",
            "fax_number": "225-767-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRUZ",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.