Active NPI
Kyle Leblanc, PT
- Physical Therapist
- Zachary, LA
National Provider Identifier
1346546744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2335 Church St
Suite G
Zachary, LA 70791-2700 - Phone
- (225) 654-8208
- Fax
- (225) 654-4642
- NPI assigned
- Feb 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LA | Primary |
Addresses
Primary practice location
2335 Church St
Suite G
Zachary, LA 70791-2700
Mailing address
2335 Church St
Suite G
Zachary, LA 70791-2700
Phone (225) 654-8208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1346546744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 CHURCH ST",
"address_2": "SUITE G",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912700",
"telephone_number": "225-654-8208",
"fax_number": "225-654-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 CHURCH ST",
"address_2": "SUITE G",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912700",
"telephone_number": "225-654-8208",
"fax_number": "225-654-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "KYLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.