Raymond Earl Dyer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04375R Issued in LA

Practice address

12320 Highway 44 BLDG 3F
Gonzales, LA 70737-2202

Phone

(225) 647-9505

Fax

(225) 647-9503

NPI assigned

Oct 25, 2005

Last updated

Nov 2, 2007By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Louisiana State University School of Medicine in Shreveport, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Therapy Services, IncGroup PAC ID 0941298913, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Alliance Therapy Services, Inc

  • Physical Therapy Clinic/Center
  • Gonzales, LA
  • NPI 1396831699
  Medicare reassignment Care Compare group NPD
• The Hand Center, LLC

  • Specialist
  • Gonzales, LA
  • NPI 1689728073
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1255321808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44 BLDG 3F",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-647-9505",
            "fax_number": "225-647-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44 BLDG 3F",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-647-9505",
            "fax_number": "225-647-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "RAYMOND",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04375R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO PROVIDER#",
            "identifier": "7981142",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114103",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER#",
            "identifier": "2513209",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry John Dupre
• Chris Anthony Dupre, RPH
• Sadie Lane Dupre, PT, DPT
• Kristen Durkee
• Dva Healthcare Renal Care Inc (Magnolia Dialysis)
• Earmax LLC
• Easy Care, Inc.
• Easy Care, Inc.
• Easy Care, Inc.
• Allan L. Edmunds

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.