Individual provider Active NPI

Nicholas Guilbeau I

  • Physical Therapist
  • Winnsboro, LA
National Provider Identifier
1285160317
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09623 Issued in LA
Practice address
710 Prairie St
Winnsboro, LA 71295-2630
Phone
(318) 435-3882
Fax
(318) 435-4306
NPI assigned
May 10, 2017
Last updated
May 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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 09623 LA Primary

Addresses

Primary practice location

710 Prairie St
Winnsboro, LA 71295-2630

Mailing address

710 Prairie St
Winnsboro, LA 71295-2630
Phone (318) 435-3882

Other names 1

  • Nicholas Guilbeau Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609001235 LA Practitioner - Physical Therapist in Private Practice 2567730898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ouachita Physical Therapy, IncGroup PAC ID 5193725356, 8 clinicians
Renewed Physical Therapy, LLCGroup PAC ID 1052804440, 2 clinicians
Winnsboro Physical Therapy IncGroup PAC ID 9335100940, 5 clinicians

Practice addresses (Care Compare)

1138 Oliver Rd
Monroe, LA 71201-5714
Phone (318) 323-3031

200 Northpark Dr
Monroe, LA 71203-6520
Phone (318) 709-9664

710 Prairie St
Winnsboro, LA 71295-2630
Phone (318) 435-3882

Merit-based Incentive Payment System (MIPS)

Final score
41.52 of 100Reported as individual
Quality
45
Improvement activities
0
Cost
78.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09623LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winnsboro Physical Therapy, Inc Physical Therapist CurrentSince May 15, 2017 Accepting new patients
Renewed Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Ouachita Physical Therapy, Inc. Physical Therapist CurrentSince May 15, 2017 Accepting new patients

Locations

1138 Oliver Rd
Monroe, LA 71201
Phone (318) 323-3031

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1285160317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PRAIRIE ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952630",
            "telephone_number": "318-435-3882",
            "fax_number": "318-435-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PRAIRIE ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952630",
            "telephone_number": "318-435-3882",
            "fax_number": "318-435-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBEAU",
        "first_name": "NICHOLAS",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "GUILBEAU",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.