Guillory's Therapy Clinic, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

261QP2000X Issued in LA

Legal business name

GUILLORY'S THERAPY CLINIC, INC.

Practice address

1014 N 4TH St
Monroe, LA 71201-5508

Phone

(318) 323-1110

Fax

(318) 323-1510

NPI assigned

Oct 11, 2006

Last updated

May 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Toben Guillory, OTNPI 1861452187

Title

Owner

Phone

(318) 323-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Toben Guillory, OT

  • Occupational Therapist
  • Monroe, LA
  • NPI 1861452187
  Medicare reassignment NPD Authorized official
• Angela Agnew Flory, OT

  • Occupational Therapist
  • Monroe, LA
  • NPI 1215267703
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1326136300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N 4TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015508",
            "telephone_number": "318-323-1110",
            "fax_number": "318-323-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N 4TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015508",
            "telephone_number": "318-323-1110",
            "fax_number": "318-323-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLORY'S THERAPY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TOBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-323-1110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "261QP2000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "438358561B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Guilbeau
• Jennifer Guill
• Gerline Guillaume
• Clint C Guillory, MD
• John Toben Guillory, OT
• Jamie Lynn Putnam Guillot, ACNPC-AG
• Mallorie Guillot
• Thomas Andrew Gulick, M.D.
• Aruna Gullapalli, MD
• Vikas Gullapalli, MD

• Physical Therapy Clinic/Center in Monroe, LA
• Providers in Monroe, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.