Carol Devera Guillory, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

108181 Issued in TX

Practice address

4535 Holst St
Beaumont, TX 77708-1531

Phone

(409) 656-2367

NPI assigned

Jun 9, 2020

Reactivated

Nov 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1356966980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 HOLST ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777081531",
            "telephone_number": "409-656-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 HOLST ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777081531",
            "telephone_number": "409-656-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "CAROL",
        "middle_name": "DEVERA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "deactivation_date": "2020-09-28",
        "reactivation_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Guidry, MS, RD, LD
• Courtney Marie Guidry, PA-C
• Devin Troy Guidry, LVN
• Glen G. Guillet, M.D.
• Brittany Marie Guillory, D.C.
• Jessie Guillory
• Lacresha Guillory
• Valerie Ann Guillory
• Gulf Coast Chiropractic
• Gulf Coast Medical Evaluations

• Occupational Therapist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.