Braden Guidry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08576 Issued in LA

Practice address

311 Polly LN
Lafayette, LA 70508-4960

Phone

(337) 261-9100

Fax

(337) 261-9700

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Braden Guidry, PT, LLC

  • Physical Therapy Clinic/Center
  • Church Point, LA
  • NPI 1972051993
  Medicare reassignment NPD Authorized official
• Core Physical Therapy and Performance, LLC

  • Physical Therapist
  • Shreveport, LA
  • NPI 1609243716
  NPD (past)

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1164846705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 POLLY LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084960",
            "telephone_number": "337-261-9100",
            "fax_number": "337-261-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 POLLY LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084960",
            "telephone_number": "337-261-9100",
            "fax_number": "337-261-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "BRADEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koby Guidroz
• Guidry and Horaist Orthodontics LLC
• Sherika Guidry-Simon
• Adrianne Guidry
• Alana N Guidry
• Cathy M Guidry, O.D.
• Celise Suzette Guidry, PT, DPT
• Charles Paul Guidry
• Chelsea Guidry
• David Guidry, D.D.S.

• Physical Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.