Kyle David Guidry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6398 Issued in AZ

Practice address

14420 W Meeker Blvd
Suite 300
Sun City West, AZ 85375-5286

Phone

(623) 537-5600

Fax

(623) 537-5601

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kyle D GuidryGroup PAC ID 7618133661, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Kyle D Guidry

  • Occupational Therapist
  • Surprise, AZ
  • NPI 1194088476
  Medicare reassignment Care Compare group Authorized official
• Center for Orthopedic Research and Education, LLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1427095801

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1336181569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 W MEEKER BLVD",
            "address_2": "SUITE 300",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755286",
            "telephone_number": "623-537-5600",
            "fax_number": "623-537-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 W MEEKER BLVD",
            "address_2": "SUITE 300",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755286",
            "telephone_number": "623-537-5600",
            "fax_number": "623-537-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6398",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "6398",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "AZ",
            "license": "6398",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "6398",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "6398",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "6398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106584",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tasha Grissett, PA
• James W Groff, DO
• Katherine Elizabeth Gross, M.D.
• Jared Robert George Grow, AGACNP
• Sara Lynn Grubor, FNP-C
• Mackenzie Beth Gulka
• Jennifer S Gutierrez, PA
• Xiomara Leonor Gutierrez, FNP-C
• Haaggz Medical Clinic, Co
• Breanne Elizabeth Haddock, PA

• Physical Therapist in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.